MINERVA BONIN (NPI# 1881195972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881195972 |
| Entity Type | Individual |
| Full Name | MINERVA BONIN |
| Credential | LPC |
| Practice Address |
4630 50th St Ste 412 Lubbock TX 79414-3519 |
| Mailing Address |
2302 81st St Lubbock TX 79423-2326 |
| Practice Telephone | 8067816143 |
| Practice Fax Number | 8063000235 |
| Mailing Telephone | 8067816143 |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
75212 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4630 50TH ST STE 412 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527348 | Sarah Kathaleen Dunn | Counselor | 4102 24th St Ste 302, Lubbock, TX 79410-1802 | 2020-10-27 |
| 1659979862 | Level Up Therapy, Pllc | Counselor | 4611 88th St, Lubbock, TX 79424-4107 | 2020-10-12 |
| 1770197840 | Wendell Dorcell Davis | Counselor | 3411 73rd St, Lubbock, TX 79423-1101 | 2020-09-04 |
| 1841800059 | Angie Gay Alexander | Counselor | 7908 Vicksburg Ave, Lubbock, TX 79424-3120 | 2020-08-03 |
| 1073121737 | Carla Dee Mickle | Counselor | 6343 29th St, Lubbock, TX 79407-2809 | 2020-07-20 |
| 1326663907 | Stace Lynn Mcewin | Counselor | 8008 Slide Rd Ste 25, Lubbock, TX 79424-2828 | 2020-06-10 |
| 1114556578 | Kristina Luera | Counselor | 5646 Avenue A, Lubbock, TX 79404-4530 | 2020-04-06 |
| 1538793229 | Robin A Armour | Counselor | 2502 106th St, Lubbock, TX 79423-6065 | 2020-03-03 |
| 1730721952 | Kortney Gholson Counseling Pllc | Counselor | 3303 67th St Ste 110, Lubbock, TX 79413-6132 | 2019-10-09 |
| 1902456049 | Dyana Clark | Counselor | 2514 82nd St Ste E, Lubbock, TX 79423-2204 | 2019-09-19 |
| Find all providers in LUBBOCK | ||||
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| 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.