| Texas Panhandle Mental Health Mental Retardation | |
|
1703 S Avondale St Amarillo TX 79106-4516 | |
| (806) 353-2822 | |
| Not Available |
| Full Name | Texas Panhandle Mental Health Mental Retardation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1703 S Avondale St, Amarillo, Texas |
| Authorized Official Name and Position | Mellisa Talley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8063513206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Panhandle Mental Health Mental Retardation 1703 S Avondale St Amarillo TX 79106-4516 Ph: (806) 353-2822 | Texas Panhandle Mental Health Mental Retardation 1703 S Avondale St Amarillo TX 79106-4516 Ph: (806) 353-2822 |
| NPI Number | 1740300631 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 07/21/2022 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740300631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Texas) | Primary |
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