CENTERED YOUTH CLINIC AND CONSULTING PLLC NPI 1306420013

NPI Information

NPI: 1306420013
Provider Name: CENTERED YOUTH CLINIC AND CONSULTING PLLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D2227458

Address:
14008 SHADOWGLEN BLVD STE 300
MANOR, TX
ZIP 78653
Phone: (512) 842-9655
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CENTERED YOUTH CLINIC AND CONSULTING PLLC is a health service clinic center in Manor, TX. CENTERED YOUTH CLINIC AND CONSULTING PLLC NPI is 1306420013. The provider is registered as an organization entity type.

The provider's business location address is:

14008 SHADOWGLEN BLVD STE 300
MANOR, TX
ZIP 78653-406
Phone: (512) 842-9655

The provider's authorized official is Chinwe Efuribe .
The authorized official title is Physician Owner, Manager and has the following contact phone number (860) 983-6542.

The CLIA number assigned to this NPI record is 45D2227458 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2021 and was last updated on 5/9/2021.

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
1	251S00000X	Community/Behavioral Health				No
2	261QH0100X	Clinic/Center	Health Service			Yes

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

NPI Synchronization or Removal

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