Organization Name: | SAMARITAN COUNSELING CENTER OF SOUTHEAST TEXAS |
NPI Number: | 1326009754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTI VANN (EXECUTIVE ASSISTANT) |
Mailing Address: | 1305 Roosevelt Dr Silsbee |
State: | TX US |
Postal Code: | 776563309 |
Phone Number: | 8773853347 |
Fax Number: | 4099834761 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 17005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |