LAURENE LOUISE PELLICCIA (NPI# 1235720962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235720962 |
| Entity Type | Individual |
| Full Name | MRS. LAURENE LOUISE PELLICCIA |
| Gender | Female |
| Credential | LPC |
| Practice Address | 4710 Sunrise Bch San Antonio TX 78253-5791 |
| Practice Telephone | 5129992450 |
| Mailing Address | 4710 Sunrise Bch San Antonio TX 78253-5791 |
| Mailing Telephone | 5129992450 |
| Certification Date | 2021-01-26 |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 101YP2500X | Counselor Specialization: Professional | 73693 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BEHAVIORAL HEALTH EXEUTIVE COUNCIL | 73693 | Other |
| Street Address | 4710 SUNRISE BCH |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78253-5791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center · Dental | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1164044392 | H-E-B, Lp · Heb Pharmacy #771 | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1780217976 | Tovar Dental, Pllc | Dentist · General Practice | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1104468263 | Diane-Claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
| 1194374215 | Deren Robert Green | Counselor · Addiction (Substance Use Disorder) | 1401 Dezarae Lot #3, San Antonio, TX 78253 | 2019-09-11 |
| 1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
| 1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
| 1053879742 | Donnelle D Storrs | Nurse Practitioner · Family | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
| Find all providers in zip 78253 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639760861 | Morningstar Counseling and Wellness, Pllc | 103 Muncey, San Antonio, TX 78202-2319 | 2021-01-31 | |
| 1578153441 | Natasha Lasian Richardson | 5807 Cinnabar Cv, San Antonio, TX 78222-4134 | 2021-01-24 | |
| 1598354219 | Carly S Andrews | 223 Mackey Dr, San Antonio, TX 78213-4454 | 2021-01-17 | |
| 1336738889 | Marcia Castanon | 2715 Skybound, San Antonio, TX 78245-4640 | 2021-01-11 | |
| 1346838430 | Jonathan Thomas De Jesus | 7701 Wurzbach Rd Apt 1101, San Antonio, TX 78229-4431 | 2021-01-05 | |
| 1538757661 | Kimberly Vaio Knopf · Kimberly Maria Vaio | 23050 Evangeline, San Antonio, TX 78258-7031 | 2021-01-05 | |
| 1508454745 | Chantel R Clarke | 300 E Ramsey Rd Ste 305, San Antonio, TX 78216-3932 | 2021-01-04 | |
| 1114514189 | Kristine Benson | 3402 Marlark Pass, San Antonio, TX 78261-2712 | 2020-12-24 | |
| 1043816168 | Arsahy Alvizo | 9324 Dover Rdg, San Antonio, TX 78250-3559 | 2020-12-06 | |
| 1013512706 | Alexandra Gamboa | 3308 Broadway Ste 201, San Antonio, TX 78209-6549 | 2020-12-01 | |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235689464 | Laurene N Concienne · Laurene N Luis | Physician Assistant | 888 Swift Blvd, Richland, WA 99352-3514 | 2016-10-12 |
| 1508126749 | Laurene Paulanne Randle · Laurene Cranford | Speech-Language Pathologist | 39 Limerick Rd, Arundel, ME 04046-8158 | 2012-05-22 |
| 1144795071 | Laurene Lu · Laurene Zaragoza Lu | Registered Nurse | 80 Lambert Lind Hwy Ste 10, Warwick, RI 02886-1180 | 2018-10-08 |
| 1235318270 | Laurene L Madine · Laurene M Dewitt | Social Worker · Clinical | 1 Priority Ln, # 306, Murrysville, PA 15668-6613 | 2007-10-26 |
| 1164898748 | Jessica Laurene Josserand · Jessica Laurene Keester | Nurse Practitioner · Pediatrics | 13123 E 16th Ave, B545, Aurora, CO 80045-7106 | 2015-08-18 |
| 1780225011 | Roberta Laurene Roth · Roberta Laurene Mankle | Technician · Attendant Care Provider | 1501 San Pedro Se, Albuquerque, NM 87108 | 2019-10-08 |
| 1720644263 | Laurene Elizabeth Fitzpatrick · Laurene Elizabeth Mcclure | Occupational Therapist · Gerontology | 3630 Mission Ave, Carmichael, CA 95608-2933 | 2019-05-09 |
| 1851376107 | Laurene Mary Fleischer · Laurene Mary Merzbacher | Pediatrics | 205 E Main St, Suite 2-8, Huntington, NY 11743-2923 | 2005-12-09 |
| 1831548726 | Laurene Finley · Laurene Y Finley | Psychologist · Counseling | 2122 N 18th St, 2nd Floor, Philadelphia, PA 19121-1623 | 2016-06-10 |
| 1780072850 | Laurene Krisch David · Laurene Krisch | Case Manager/Care Coordinator | 110 Bromley Dr, Eastsound, WA 98245-9446 | 2014-12-24 |
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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.