| Texas Panhandle Mental Health Mental Retardation | |
|
901 Wallace Blvd Building 501 Amarillo TX 79106-1705 | |
| (806) 351-3200 | |
| (806) 351-3344 |
| Full Name | Texas Panhandle Mental Health Mental Retardation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 901 Wallace Blvd, 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 901 Wallace Blvd Building 501 Amarillo TX 79106-1705 Ph: (806) 351-3200 | Texas Panhandle Mental Health Mental Retardation 901 Wallace Blvd Building 501 Amarillo TX 79106-1705 Ph: (806) 351-3200 |
| NPI Number | 1356300354 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 09/29/2020 |
| Certification Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356300354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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