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ON-SITE CRISIS INTERVENTION LLC NPI 1720341753


NPI Information

NPI: 1720341753
Provider Name: ON-SITE CRISIS INTERVENTION LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
851 GOMEZ RD
EL PASO, TX
ZIP 79932
Phone: (915) 525-2796
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ON-SITE CRISIS INTERVENTION LLC is a professional counselor in El Paso, TX. ON-SITE CRISIS INTERVENTION LLC NPI is 1720341753. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

851 GOMEZ RD
EL PASO, TX
ZIP 79932-205
Phone: (915) 525-2796
Fax: (915) 581-6708

The provider's authorized official is Diane Hardwick Bryan .
The authorized official title is Owner/clinical Counselor and has the following contact phone number (915) 525-2796.

The enumeration date for this NPI number is 6/25/2012 and was last updated on 10/16/2014.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)7697TEXASNo
2101YP2500XCounselorProfessional62311TEXASYes

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
113623745MEDICAIDNEW MEXICO

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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