| Tyler Behavioral Health | |
|
5201 S Broadway Ave Tyler TX 75703-3748 | |
| (214) 943-9431 | |
| (214) 943-9407 |
| Full Name | Tyler Behavioral Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5201 S Broadway Ave, Tyler, Texas |
| Authorized Official Name and Position | Linda L Riley (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2149439431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Behavioral Health Po Box 226656 Dallas TX 75222-6656 Ph: (214) 943-9431 | Tyler Behavioral Health 5201 S Broadway Ave Tyler TX 75703-3748 Ph: (214) 943-9431 |
| NPI Number | 1790951358 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790951358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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