Mary Lee Foundation in Austin - Community/behavioral Health
Mary Lee Foundation - NPI 1063614022
Mary Lee Foundation is a Community/behavioral Health in Austin, Texas. Mary Lee Foundation practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Mary Lee Foundation is 1063614022. The last update date is 2020-08-22.
Mary Lee Foundation's current location address is Po Box 3174, Austin, Texas. You can contact this provider via phone number 5124435777 and fax number 5124449949. The mailing address for Mary Lee Foundation is Po Box 3174, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary Lee Foundation |
|---|---|
| Address | Po Box 3174, Austin, Texas |
| Phone Number | 5124435777 |
| Fax Number | 5124449949 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Lilljedahl Don |
| Credentials | LSW |
| Telephone Number | 5124435777 |
NPI Number Detail
| NPI Number | 1063614022 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 3174 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787643174 |
| Phone Number | 5124435777 |
| Fax Number | 5124449949 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 115796 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23346482 993 | TX | PRS CONTRACT |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Lee Foundation by the Centers for Medicare & Medicaid Services?
The Mary Lee Foundation has been issued the NPI (National Provider Identifier) 1063614022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Lee Foundation is physically located?
The Mary Lee Foundation is physically situated at the following address: Po Box 3174, Austin, TX, 787643174.
What is Mary Lee Foundation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Lee Foundation is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063614022 to Mary Lee Foundation?
The Mary Lee Foundation received its 1063614022 assignment from the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the information related to Mary Lee Foundation most recently updated or refreshed?
The details pertaining to the Mary Lee Foundation, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.