| Bill Logue Juvenile Justice Center | |
|
2601 Gholson Rd Waco TX 76704-1106 | |
| (254) 757-5072 | |
| (254) 799-4902 |
| Full Name | Bill Logue Juvenile Justice Center |
|---|---|
| Speciality | Counselor |
| Location | 2601 Gholson Rd, Waco, Texas |
| Authorized Official Name and Position | Robert Campos (DIRECTOR (CHIEF PROBATION OFFICER)) |
| Authorized Official Contact | 2547575072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Logue Juvenile Justice Center 2601 Gholson Rd Waco TX 76704-1106 Ph: (254) 757-5072 | Bill Logue Juvenile Justice Center 2601 Gholson Rd Waco TX 76704-1106 Ph: (254) 757-5072 |
| NPI Number | 1104123926 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104123926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 19676 (Texas) | Primary |
| 104100000X | Social Worker | 19676 (Texas) | Secondary |
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Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Lake Shore Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Lake Shore Dr, Waco, TX 76710 Phone: 254-776-0400 Fax: 254-776-0637 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |