OUTREACH 12 NPI 1699771212

NPI Information

  • NPI: 1699771212
  • Provider Name: OUTREACH 12
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: OUTREACH 12 COUNSELING CENTERS OF TEXAS
  • Address: 2208 PRIMROSE AVE
    STE H-A
    MCALLEN, TX
    ZIP 78504
  • Phone: (956) 682-6889

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NPI Details

OUTREACH 12 is a rehabilitation and substance use disorder clinic center in Mcallen, TX. OUTREACH 12 NPI is 1699771212. The provider is registered as an organization entity type.
The provider Is Doing Business As Outreach 12 Counseling Centers Of Texas.

The provider's business location address is:

2208 PRIMROSE AVE
STE H-A
MCALLEN, TX
ZIP 78504-155
Phone: (956) 682-6889
Fax: (956) 682-6889

The provider's authorized official is Jackie Susan Webster-neal .
The authorized official title is Program Director and has the following contact phone number (361) 568-3761.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1918-ATEXASYes

What is NPI?

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This page was last updated on: 11/21/2025

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