The Four Five

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

THE FOUR FIVE

Practice address

114 Pugh LN
Corsicana, TX 75109-5420

Phone

(972) 806-0877

NPI assigned

May 13, 2025

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chance William Luna, LCDC

Title

Founder

Phone

(972) 806-0877

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1184415853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 BROADWAY BLVD # 105",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435822",
            "telephone_number": "972-806-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PUGH LN",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751095420",
            "telephone_number": "972-806-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUR FIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "972-806-0877",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imelda Pradil Tejada, P.T.
• Terry D Williams Dba Ahealthyu
• Texas -Waverley Group, Inc. (Health Care and Rehab of Corsicana)
• Texas Em-1 Medical Services, PA
• Texas Emergency Rooms Services, PA
• Madison Thelen, PHARMD
• Therapist Approved Medical Equipment Inc
• Thomas H Sheriff PHD PC
• Coretta Renee Thomas, LVN
• Miranda Thomas, MSN, APRN, FNP-C

• Peer Specialist in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Peer Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.