Michael's House Of Hope | |
18535 Hwy 69 S Tyler TX 75703-8004 | |
(903) 871-8700 | |
(903) 871-8880 |
Full Name | Michael's House Of Hope |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 18535 Hwy 69 S, Tyler, Texas |
Authorized Official Name and Position | Marcus Levinsky Wade (DIRECTOR OF OUTREACH) |
Authorized Official Contact | 9038718700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael's House Of Hope 18535 Hwy 69 S Tyler TX 75703-8004 Ph: (903) 871-8700 | Michael's House Of Hope 18535 Hwy 69 S Tyler TX 75703-8004 Ph: (903) 871-8700 |
NPI Number | 1295971588 |
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Provider Enumeration Date | 12/17/2008 |
Last Update Date | 12/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295971588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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