| East Texas Eating Disorder Specialists | |
|
100 Independence Pl Ste 212 Tyler TX 75703-1327 | |
| (903) 287-0780 | |
| (903) 561-8799 |
| Full Name | East Texas Eating Disorder Specialists |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 Independence Pl Ste 212, Tyler, Texas |
| Authorized Official Name and Position | Celeste Smith (LEAD THERAPIST- OWNER) |
| Authorized Official Contact | 9032870780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Eating Disorder Specialists 100 Independence Pl Ste 212 Tyler TX 75703-1327 Ph: (903) 287-0780 | East Texas Eating Disorder Specialists 100 Independence Pl Ste 212 Tyler TX 75703-1327 Ph: (903) 287-0780 |
| NPI Number | 1841959806 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841959806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
University Of Texas Health Science Center At Tyler Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 | |
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Paideia Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3815 Pine Manor Dr, Tyler, TX 75701 Phone: 907-885-5955 | |
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