| Michael's House Of Hope | |
|
18535 Hwy 69 S Tyler TX 75703-8004 | |
| (903) 871-8700 | |
| (903) 871-8880 |
| Full Name | Michael's House Of Hope |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 18535 Hwy 69 S, Tyler, Texas |
| Authorized Official Name and Position | Marcus Levinsky Wade (DIRECTOR OF OUTREACH) |
| Authorized Official Contact | 9038718700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael's House Of Hope 18535 Hwy 69 S Tyler TX 75703-8004 Ph: (903) 871-8700 | Michael's House Of Hope 18535 Hwy 69 S Tyler TX 75703-8004 Ph: (903) 871-8700 |
| NPI Number | 1295971588 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295971588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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