| New Destinations | |
|
649 County Road 433 Tenaha TX 75974-6332 | |
| (936) 248-2322 | |
| Not Available |
| Full Name | New Destinations |
|---|---|
| Speciality | Occupational Therapist |
| Location | 649 County Road 433, Tenaha, Texas |
| Authorized Official Name and Position | Terrie Mae King (PROGRAM COORDINATOR) |
| Authorized Official Contact | 9036923463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Destinations Po Box 1515 Carthage TX 75633-7515 Ph: (936) 248-2322 | New Destinations 649 County Road 433 Tenaha TX 75974-6332 Ph: (936) 248-2322 |
| NPI Number | 1235367384 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235367384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 20345 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 106894 (Texas) | Primary |
Hope Project Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 157 Wall Street, Tenaha, TX 75974 Phone: 936-248-4673 Fax: 936-248-4646 |