TYRONE CAMPBELL


Address: 6500 Spid, Corpus Christi, TX 78411
Phone: 5127218299

TYRONE CAMPBELL (NPI# 1215272257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215272257
Entity Type Individual
Full Name TYRONE CAMPBELL
Credential LCDC, CART, QMHP,
Practice Address 6500 Spid
Corpus Christi
TX 78411
Mailing Address Po Box 27521
Austin
TX 78755-2521
Practice Telephone 5127218299
Mailing Telephone 5127218299
Enumeration Date 2012-12-03
Last Update Date 2013-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0623-91 TX Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
8431 TX Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
2524-1827 TX Behavioral Health & Social Service Providers

Office Location

Street Address 6500 SPID
City CORPUS CHRISTI
State TX
Zip Code 78411

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1700337862 Rebekah Welty Audiologist 3533 Alameda St, Corpus Christi, TX 78411 2016-10-24
1518330059 Lilo Burda Counselor 321 Texan Trl Ste 220, Corpus Christi, TX 78411 2015-11-05
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1487030417 Luis Fuentes IIi General Practice 4818 Holly Rd Ste A, Corpus Christi, TX 78411 2015-07-31
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104446152 Jose A. Lopez Counselor 7426 Lake Maggorie Dr, Corpus Christi, TX 78413-5266 2020-04-20
1811484736 Faith and Family Counseling Services LLC Counselor 4410 Dillon Ln Ste 4, Corpus Christi, TX 78415-5333 2018-04-16
1447754247 Dawn Renee Burton Counselor 1231 Agnes St Ste A18, Corpus Christi, TX 78401-3202 2018-03-19
1184123754 Monarch Professional Counseling Counselor 710 Buffalo St Ste 309, Corpus Christi, TX 78401-1935 2018-02-08
1790201176 Christopher Muse Counselor 3126 Rodd Field Road, Corpus Christi, TX 78414 2017-08-17
1043625288 Trudy Goski Counselor 4224 Ocean Dr Apt 139, Corpus Christi, TX 78411-1202 2014-06-26
1073851010 Ammie Lynn Carr Counselor 11325 Ih 37 Apt 3103, Corpus Christi, TX 78410-3351 2013-01-25
1821345794 Sara Brennan Counselor 1801 S Alameda St Ste 150, Corpus Christi, TX 78404-2949 2012-08-10
1265701486 Laurie Jane Hoffman Counselor 13613 Moro Ln, Corpus Christi, TX 78418-6931 2011-12-16
1043515919 Peter Peterson Counselor 1801 S Alameda St, Suite 150, Corpus Christi, TX 78404-2932 2011-01-24
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Competitor

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City CORPUS CHRISTI
Zip Code 78411

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Dataset Information

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.

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