CEDAR CREST CLINIC NPI 1710936380

NPI Information

NPI: 1710936380
Provider Name: CEDAR CREST CLINIC

Doing Business As: CEDAR CREST CLINIC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2206 E CENTRAL TEXAS EXPY
KILLEEN, TX
ZIP 76543
Phone: (254) 519-4162
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CEDAR CREST CLINIC is a mental health counselor in Killeen, TX. CEDAR CREST CLINIC NPI is 1710936380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cedar Crest Clinic.

The provider's business location address is:

2206 E CENTRAL TEXAS EXPY
KILLEEN, TX
ZIP 76543-315
Phone: (254) 519-4162
Fax: (254) 519-3464

The provider's authorized official is Brian P Farley .
The authorized official title is Vp & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 8/25/2023.

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	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	148187101	MEDICAID	TEXAS

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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