<Unavail>

LBN: Tyler Counseling & Assessment Center
<Unavail> is an health care organization with primary practice located at 1121 E Southeast Loop 323 Ste.204, Tyler TX 75701-9660. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Tyler Counseling & Assessment Center can be contacted via phone (903) 581-0933, or through Roberts, Ron L via phone (903) 581-0933.

Contact Information

Primary practice address
1121 E Southeast Loop 323 Ste.204 Tyler TX 75701-9660
Phone: (903) 581-0933
Fax: (903) 581-3977
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Ron L MS
Phone: (903) 581-0933

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1659483840
LBN Legal business name Tyler Counseling & Assessment Center
DBA Doing business as <Unavail>
Authorized official Roberts, Ron L MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 5th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659483840 NPPES
Texas MEDICAID 080723201

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