| Coastal Plains Community Center | |
|
200 Marriott Drive Portland TX 78374-2213 | |
| (361) 777-3991 | |
| (361) 777-0610 |
| Full Name | Coastal Plains Community Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Marriott Drive, Portland, Texas |
| Authorized Official Name and Position | Mark Durand (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3617773991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Plains Community Center P.o. Box 1336 Portland TX 78374-2213 Ph: (361) 777-3991 | Coastal Plains Community Center 200 Marriott Drive Portland TX 78374-2213 Ph: (361) 777-3991 |
| NPI Number | 1194104026 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194104026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Coastal Plains Community Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 Fax: 361-777-0610 | |
Richard L Reitmann Lpc Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1700 Wildcat Dr Ste D, Portland, TX 78374 Phone: 361-445-4080 | |
Coastal Plains Community Mhmr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Mary Ann Gansle Sole Mbr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Wildcat Dr Ste D, Portland, TX 78374 Phone: 361-445-4080 Fax: 888-413-3010 | |
Coastal Plains Community Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 Fax: 361-777-0610 |