| Priority Behavioral Health | |
|
446 Forest Sq Longview TX 75605-4401 | |
| (512) 810-2975 | |
| Not Available |
| Full Name | Priority Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 446 Forest Sq, Longview, Texas |
| Authorized Official Name and Position | Joyce E Gentry (PROPRIETOR/NURSE PRACTITIONER) |
| Authorized Official Contact | 9033310162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Behavioral Health 1603 Chippewa St Longview TX 75605-4167 Ph: (512) 810-2975 | Priority Behavioral Health 446 Forest Sq Longview TX 75605-4401 Ph: (512) 810-2975 |
| NPI Number | 1568031771 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 1052704681 |
|---|---|
| Medicare Enrollment ID | O20220203001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568031771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Joyce E Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760971105 PECOS PAC ID: 0648524520 Enrollment ID: I20181112002076 |
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