East Texas Mental Health Associates | |
5620 Old Bullard Rd Suite 111 Tyler TX 75703-4358 | |
(903) 526-7284 | |
(903) 534-4987 |
Full Name | East Texas Mental Health Associates |
---|---|
Speciality | Counselor - Mental Health |
Location | 5620 Old Bullard Rd, Tyler, Texas |
Authorized Official Name and Position | Joyce Foreman Shayler (OWNER) |
Authorized Official Contact | 9035267284 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
East Texas Mental Health Associates Po Box 9684 Tyler TX 75711-2684 Ph: (903) 526-7284 | East Texas Mental Health Associates 5620 Old Bullard Rd Suite 111 Tyler TX 75703-4358 Ph: (903) 526-7284 |
NPI Number | 1083707947 |
---|---|
Provider Enumeration Date | 10/02/2006 |
Last Update Date | 04/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083707947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 02775 (Texas) | Primary |
101YP2500X | Counselor - Professional | 13460 (Texas) | Secondary |
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