East Texas Mental Health Associates in Tyler - Clinical
East Texas Mental Health Associates - NPI 1649495235
East Texas Mental Health Associates is a Clinical in Tyler, Texas. East Texas Mental Health Associates practices all healthcare services and medical treatments related to Clinical. The NPI Number for East Texas Mental Health Associates is 1649495235. The last update date is 2020-08-22.
East Texas Mental Health Associates's current location address is 5620 Old Bullard Rd, Tyler, Texas. You can contact this provider via phone number 9035267284. The mailing address for East Texas Mental Health Associates is 5620 Old Bullard Rd, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Mental Health Associates |
|---|---|
| Address | 5620 Old Bullard Rd, Tyler, Texas |
| Phone Number | 9035267284 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shayler Joyce |
| Telephone Number | 9035267284 |
NPI Number Detail
| NPI Number | 1649495235 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5620 Old Bullard Rd |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757034358 |
| Phone Number | 9035267284 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 2775 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to East Texas Mental Health Associates by the Centers for Medicare & Medicaid Services?
The East Texas Mental Health Associates has been assigned the NPI (National Provider Identifier) 1649495235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where East Texas Mental Health Associates is physically located?
The East Texas Mental Health Associates is situated at the following address: 5620 Old Bullard Rd, Tyler, TX 757034358.
What is East Texas Mental Health Associates's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The East Texas Mental Health Associates's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1649495235 to East Texas Mental Health Associates?
The Centers for Medicare & Medicaid Services assigned the 1649495235 to East Texas Mental Health Associates on 2007-04-17.
When was the information pertaining to East Texas Mental Health Associates most recently updated or revised?
The details related to East Texas Mental Health Associates, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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