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ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES NPI 1154325645


NPI Information

NPI: 1154325645
Provider Name: ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES

Doing Business As: ACCESS

Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
5656 N JACKSON ST
JACKSONVILLE, TX
ZIP 75766
Phone: (903) 589-9000
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ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES is an intellectual and developmental disabilities in Jacksonville, TX. ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES NPI is 1154325645. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Access.

The provider's business location address is:

5656 N JACKSON ST
JACKSONVILLE, TX
ZIP 75766-641
Phone: (903) 589-9000
Fax: (903) 586-9200

The provider's authorized official is Allyn Lang .
The authorized official title is Executive Director and has the following contact phone number (903) 586-5507.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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