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COASTAL PLAINS COMMUNITY MHMR CENTER NPI 1114057700


NPI Information

NPI: 1114057700
Provider Name: COASTAL PLAINS COMMUNITY MHMR CENTER

Doing Business As: COASTAL PLAINS COMMUNITY CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
200 MARRIOTT DR
PORTLAND, TX
ZIP 78374
Phone: (361) 777-3991
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COASTAL PLAINS COMMUNITY MHMR CENTER is a mental health counselor in Portland, TX. COASTAL PLAINS COMMUNITY MHMR CENTER NPI is 1114057700. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Coastal Plains Community Center.

The provider's business location address is:

200 MARRIOTT DR
PORTLAND, TX
ZIP 78374-213
Phone: (361) 777-3991
Fax: (361) 777-0610

The provider's authorized official is Mark Durand .
The authorized official title is Executive Director and has the following contact phone number (361) 777-3991.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 10/27/2020.


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
1126843505MEDICAIDTEXAS

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: 11/14/2023

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