| Texoma Community Center | |
|
315 W Mclain Dr Sherman TX 75092-2605 | |
| (903) 957-4861 | |
| (903) 957-3416 |
| Full Name | Texoma Community Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 315 W Mclain Dr, Sherman, Texas |
| Authorized Official Name and Position | Tony M Lewis (CREDENTIALING) |
| Authorized Official Contact | 9039574869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texoma Community Center Po Box 1087 Sherman TX 75091-1087 Ph: (903) 957-4861 | Texoma Community Center 315 W Mclain Dr Sherman TX 75092-2605 Ph: (903) 957-4861 |
| NPI Number | 1184700361 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184700361 | NPI | - | NPPES |
| 130723306 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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