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NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR. NPI 1467463042


NPI Information

NPI: 1467463042
Provider Name: NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR.

Doing Business As: NUECES CENTER FOR MENTAL HEALTH AND INTELLECTUAL DISABILITIES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 45D2112785

Address:
3733 S PORT AVE
CORPUS CHRISTI, TX
ZIP 78415
Phone: (361) 886-6900
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NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR. is a mental health counselor in Corpus Christi, TX. NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR. NPI is 1467463042. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nueces Center For Mental Health And Intellectual Disabilities.

The provider's business location address is:

3733 S PORT AVE
CORPUS CHRISTI, TX
ZIP 78415-532
Phone: (361) 886-6900

The provider's authorized official is Mark Hendrix .
The authorized official title is Deputy Ceo and has the following contact phone number (361) 886-6900.

The CLIA number assigned to this NPI record is 45D2112785 - other - jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/12/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1138305113MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.