EAST TEXAS COUNCIL ON ALCOHOLISM AND DRUG ABUSE (NPI# 1679862569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679862569 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS COUNCIL ON ALCOHOLISM AND DRUG ABUSE |
| Practice Address |
708 Glencrest Ln Longview TX 75601-5137 |
| Practice Telephone | 9037537633 |
| Mailing Telephone | 9032479646 |
| Mailing Fax Number | 9037530574 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2012-06-01 |
| Authorized Official Name | LINDA OYER (CEO) |
| Authorized Official Telephone | 9032479646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
708 GLENCREST LN |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215222559 | William Porter | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-06-15 |
| 1164711677 | Connie Caldwell | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-05 |
| 1891084307 | O'quinn Demery Jr. | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-05 |
| 1700175213 | Mary Alphin | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-05 |
| 1245529759 | Lindsey Little | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-05 |
| 1972892487 | Sha-ron Mcnaughton | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-05 |
| 1073802583 | Margaret Cunzalo | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-05 |
| 1629367214 | Maureen Walston | Counselor | 708 Glencrest Ln, Longview, TX 75601-5137 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719533 | Anam Cara Wellness | Community/Behavioral Health | 5100 Fountain Ln, Longview, TX 75604-9462 | 2020-04-22 |
| 1316573033 | Carlton W Mitchell Lpc (pllc) | Community/Behavioral Health | 1800 W Loop 281 Ste 300, Longview, TX 75604-2516 | 2020-03-13 |
| 1902373764 | Mobberly Baptist Church | Community/Behavioral Health | 3032 N Eastman Rd Ste Longview, Longview, TX 75605-5019 | 2018-10-30 |
| 1558841361 | Pacific Counseling Services | Community/Behavioral Health | 1801 1st Ave Ste 2b6, Longview, WA 98632-3270 | 2018-08-21 |
| 1487148789 | Our Place Multicultural Community Center | Community/Behavioral Health | 3108 Fir St, Longview, WA 98632-1939 | 2018-06-20 |
| 1356704902 | Psych Fit LLC | Community/Behavioral Health | 501 Pine Tree Rd # A-6, Longview, TX 75604-4000 | 2016-03-31 |
| 1811266547 | Sabine Valley Regional Mhmr Dba Community Healthcore | Community/Behavioral Health | 950 N 4th St, Longview, TX 75601-5436 | 2011-12-27 |
| 1497030035 | Joushuas Covenants Residential Care L.L.C. | Community/Behavioral Health | 8 Brownwood Dr, Longview, TX 75602-1902 | 2011-10-14 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1073798633 | Dora Allison | Community/Behavioral Health | 11635 Fm 349, Longview, TX 75603-7505 | 2008-01-02 |
| Find all providers in LONGVIEW | ||||
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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.