COUNSELING AND PSYCHOLOGICAL SERVICES OF EAST TEXAS, PC (NPI# 1134330392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134330392 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND PSYCHOLOGICAL SERVICES OF EAST TEXAS, PC |
| Practice Address |
301 N Wellington St Marshall TX 75670-3335 |
| Mailing Address |
Po Box 8317 Marshall TX 75671-8317 |
| Practice Telephone | 9039384476 |
| Practice Fax Number | 9039384125 |
| Mailing Telephone | 9039384476 |
| Mailing Fax Number | 9039384125 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2013-10-30 |
| Authorized Official Name | DR. TONEY L CHARLES JR. (PRESIDENT) |
| Authorized Official Telephone | 9039384476 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146704502 | 05 |
| Street Address |
301 N WELLINGTON ST |
| City | MARSHALL |
| State | TX |
| Zip Code | 75670-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811279466 | Nancy Rae | Counselor | 301 N Wellington St, Marshall, TX 75670-3335 | 2011-09-09 |
| 1932431541 | John Claiborne Hood | Counselor | 301 N Wellington St, Marshall, TX 75670-3335 | 2010-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536988 | Christopher Hurd | Counselor | 1006 E East End Blvd N, Marshall, TX 75670 | 2020-04-02 |
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1083263677 | Fresh Start East Texas Counseling Services | Clinic/Center | 202 S. Alamo Blvd. Suite A, Marshall, TX 75670 | 2019-09-06 |
| 1376045831 | Tonja Deem | Nurse Practitioner | 815 S Wahshington Ave Ste 302, Marshall, TX 75670 | 2018-03-01 |
| 1609399641 | Michael Alan Rich Jr. | Specialist/Technologist | One Tiger Drive, East Texas Baptist University, Marshall, TX 75670 | 2017-07-21 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
| 1558636407 | Valerie Butler | Internal Medicine | 815 South Washington Avenue, Ste 100 Internal Medicine Marshall, Marshall, TX 75670 | 2012-03-11 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| Find all providers in zip 75670 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659594372 | Jim Horgan Ma, Lp | Psychologist | 109 S 5th St, Suite 400, Marshall, MN 56258-1240 | 2007-04-11 |
| 1417000126 | Edward Rubenstein | Psychologist | 255 Sages Way, Marshall, NC 28753-5711 | 2007-01-18 |
| 1174695787 | Toney Lee Charles Jr. | Psychologist | 301 North Wellington St., Marshall, TX 75670-3230 | 2006-11-15 |
| 1720091879 | Edwin Charles Yerka | Psychologist | 300 E Bruce St, Marshall, MN 56258 | 2006-08-13 |
| 1003828278 | Christine Catherine Zych | Psychologist | 430 W Main St Ste 1, Marshall, MN 56258-3783 | 2006-08-13 |
| 1467463380 | Janice Claire Lazar | Psychologist | 310 W Green St, Marshall, MI 49068-1519 | 2006-08-10 |
| 1801264262 | Darci Van Dyke | Psychologist | 1212 E College Dr, Marshall, MN 56258-2010 | 2015-09-02 |
| 1396002655 | Kendra A Holzer | Psychologist | 1212 E College Dr, Marshall, MN 56258-2010 | 2012-04-11 |
| 1225332711 | Gerald Edward Nissley Jr. | Psychologist | 1 Tiger Dr, Marshall, TX 75670-1412 | 2010-12-27 |
| 1891987335 | Sarah E. Mannes | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2007-08-17 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.