| East Texas Mental Health Associates | |
|
5620 Old Bullard Rd Suite 111 Tyler TX 75703-4358 | |
| (903) 526-7284 | |
| (903) 534-4987 |
| Full Name | East Texas Mental Health Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5620 Old Bullard Rd, Tyler, Texas |
| Authorized Official Name and Position | Joyce Foreman Shayler (OWNER) |
| Authorized Official Contact | 9035267284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Mental Health Associates Po Box 9684 Tyler TX 75711-2684 Ph: (903) 526-7284 | East Texas Mental Health Associates 5620 Old Bullard Rd Suite 111 Tyler TX 75703-4358 Ph: (903) 526-7284 |
| NPI Number | 1083707947 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083707947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 02775 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 13460 (Texas) | Secondary |
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