BILLY BERNEARD BROOKS (NPI# 1790345692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790345692 |
| Entity Type | Individual |
| Full Name | BILLY BERNEARD BROOKS |
| Credential | L.C.D.C. |
| Practice Address |
401 W Twohig Ave San Angelo TX 76903-6321 |
| Mailing Address |
3553 W Houston Harte Expy San Angelo TX 76901-2664 |
| Practice Telephone | 3256557777 |
| Practice Fax Number | 3256594316 |
| Mailing Telephone | 3252243481 |
| Mailing Fax Number | 3252244923 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10781 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 065284402 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3553 W Houston Harte Expy, San Angelo, TX 769012664 | 3252243481 | 3252244923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972806289 | Billy Brooks | Home Health | 3149 Crimson Clover Dr, Lancaster, TX 75134-1655 | 2010-12-08 |
| 1558684076 | Billy F Brooks | Pharmacist | 2608 Route 112, Medford, NY 11763-2551 | 2010-03-11 |
| Street Address |
401 W TWOHIG AVE |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528512480 | Ingrid Gamble | Counselor | 401 W Twohig Ave, San Angelo, TX 76903-6321 | 2016-08-09 |
| 1164976940 | Hubert Childress Jr. | Counselor | 401 W Twohig Ave, San Angelo, TX 76903-6321 | 2016-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801430822 | Justina Ozuna Heredia | Counselor | 3425 Ymca Dr Apt 60, San Angelo, TX 76904-7180 | 2019-11-01 |
| 1528512480 | Ingrid Gamble | Counselor | 401 W Twohig Ave, San Angelo, TX 76903-6321 | 2016-08-09 |
| 1932653714 | Clarence Gray | Counselor | 134 W College Ave, San Angelo, TX 76903-5816 | 2016-08-09 |
| 1770688103 | Alan Keith Carson | Counselor | 218 Pulliam St., San Angelo, TX 76905 | 2006-09-13 |
| 1770525685 | Hector Cantu | Counselor | 2406 W Avenue N, San Angelo, TX 76904-5094 | 2006-06-12 |
| 1376153288 | Rusan Hiebert | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2020-08-05 |
| 1972084077 | Sara Shurbet | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-27 |
| 1275014540 | Griselda Ana Arteaga | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-24 |
| 1821578709 | Laura Suzanne Weaver | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| 1174003057 | Chelsea Lynn Ashton | Counselor | 3553 W Houston Harte Expy, San Angelo, TX 76901-2664 | 2018-08-20 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
Please comment or provide details below to improve the information on BILLY BERNEARD BROOKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.