| Coastal Plains Community Center | |
|
200 Marriott Dr Portland TX 78374-2213 | |
| (361) 777-3991 | |
| (361) 777-0610 |
| Full Name | Coastal Plains Community Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Marriott Dr, Portland, Texas |
| Authorized Official Name and Position | Leonel Trejo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3617773991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Plains Community Center 200 Marriott Dr Portland TX 78374-2213 Ph: (361) 777-3991 | Coastal Plains Community Center 200 Marriott Dr Portland TX 78374-2213 Ph: (361) 777-3991 |
| NPI Number | 1114057700 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114057700 | NPI | - | NPPES |
| 126843505 | Medicaid | TX |
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 Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Drive, Portland, TX 78374 Phone: 361-777-3991 Fax: 361-777-0610 | |
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 |