Green Acres Baptist Church

LBN: Green Acres Baptist Church
Green Acres Baptist Church is an health care organization with primary practice located at 5755 Eagles Nest Blvd Ste 4 , Tyler TX 75703-6236. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Green Acres Baptist Church can be contacted via phone (903) 533-1817, or through Cornelius, Jaime Dawn via phone (903) 533-1817.

Contact Information

Primary practice address
5755 Eagles Nest Blvd Ste 4 Tyler TX 75703-6236
Phone: (903) 533-1817
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cornelius, Jaime Dawn
Phone: (903) 533-1817

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1376228619
LBN Legal business name Green Acres Baptist Church
DBA Doing business as
Authorized official Cornelius, Jaime Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2023
Last updated Jun 15th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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