EDIE HERNANDEZ PUTT, PSY D, LPC-PC (NPI# 1972930857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972930857 |
| Entity Type | Organization |
| Organization Name | EDIE HERNANDEZ PUTT, PSY D, LPC-PC |
| Practice Address |
10405 E Northwest Hwy Ste # 303 Dallas TX 75238-4619 |
| Practice Telephone | 2143411400 |
| Mailing Telephone | 2143411400 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | DR. EDIE HERNANDEZ PUTT (OWNER) |
| Authorized Official Telephone | 2143411400 |
| Authorized Official Credential | PSY D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
17737 | TX | Behavioral Health & Social Service Providers |
| Street Address |
10405 E NORTHWEST HWY STE # 303 |
| City | DALLAS |
| State | TX |
| Zip Code | 75238-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508808825 | Honling John Yuen | Internal Medicine | 10405 E Northwest Hwy, #100, Dallas, TX 75238-4619 | 2006-06-12 |
| 1912134610 | Vanessa Ann Johnson | Dental Hygienist | 10405 E Northwest Hwy, #301, Dallas, TX 75238-4619 | 2009-06-19 |
| 1720285885 | Kristi M Lewis | Counselor | 10405 E Northwest Hwy, Suite 100, Dallas, TX 75238-4619 | 2007-06-29 |
| 1255537650 | Linda S Comito | Counselor | 10405 E Northwest Hwy, Suite 100, Dallas, TX 75238-4619 | 2007-06-22 |
| 1861606352 | Wahida Aly Elsaie | Psychologist | 10405 E Northwest Hwy, Suite 100, Dallas, TX 75238-4619 | 2007-05-10 |
| 1215159462 | Lawanda Harris | Dental Hygienist | 10405 E Northwest Hwy, Ste 301, Dallas, TX 75238-4619 | 2007-05-03 |
| 1639390396 | Stacy Martinez | Dental Hygienist | 10405 E Northwest Hwy, Suite 301, Dallas, TX 75238-4619 | 2007-05-01 |
| 1417173808 | Douglas Fonville | Dentist | 10405 E Northwest Hwy, Ste 301, Dallas, TX 75238-4619 | 2007-04-17 |
| 1508938663 | Edith Hernandez Putt | Counselor | 10405 E Northwest Hwy, Suite 303, Dallas, TX 75238-4619 | 2006-11-14 |
| 1558447193 | William D. Burnett | Family Medicine | 10405 E Northwest Hwy, Suite 300, Dallas, TX 75238-4619 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
| 1548716848 | Zoom Health Services Inc | Nursing Care | 12959 Jupiter Road Suite 140, Dallas, TX 75238 | 2016-08-28 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1285993477 | Legacy Dental of Mesquite Pllc | Dentist | 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 | 2012-05-09 |
| 1316257710 | T-dental,p.c | Dentist | 9625 Plano Road, 100, Dallas, TX 75238 | 2010-10-19 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1285868448 | Cordial Care Home Health Services Inc | Home Health | 10935 Estate Lane Suite 182, Dallas, TX 75238 | 2009-05-04 |
| 1558514695 | Lisa Camille Simmons | Counselor | 12959 Jupiter Ln, Dallas, TX 75238 | 2008-11-03 |
| Find all providers in zip 75238 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| 1316546385 | Paola Guadalupe Garcia | Counselor | 8338 Midland Ln, Dallas, TX 75217-8850 | 2020-10-21 |
| 1447858378 | Theresa Lashonda Lucie Moody | Counselor | 3653 Briargrove Ln Apt 1036, Dallas, TX 75287-6155 | 2020-10-13 |
| 1609473693 | Donna Smith | Counselor | 3766 Seguin Dr, Dallas, TX 75220-6329 | 2020-10-03 |
| 1659978849 | Brian Williams | Counselor | 75 Log Cabin Dr Apt 821, Dallas, GA 30157-1689 | 2020-10-01 |
| 1285241349 | Nichole Gabrielle Brown | Counselor | 5045 Thunder Rd, Dallas, TX 75244-6546 | 2020-09-23 |
| 1366058588 | Vicki Smith-lockhart | Counselor | 4041 W Wheatland Rd Ste 106, Dallas, TX 75237-4060 | 2020-09-22 |
| 1881206928 | Angela Grace Leach | Counselor | 6511 Walnut Hill Ln, Dallas, TX 75230-5318 | 2020-08-19 |
| 1093324055 | Alita Rose Andrews | Counselor | 3905 Highgrove Dr, Dallas, TX 75220-3753 | 2020-07-27 |
| Find all providers in DALLAS | ||||
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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.