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SABINE VALLEY REGIONAL MHMR CENTER NPI 1821214537


NPI Information

NPI: 1821214537
Provider Name: SABINE VALLEY REGIONAL MHMR CENTER

Doing Business As: EARLY CHILDHOOD INTERVENTION

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
107 WOODBINE PL UNIT 775
LONGVIEW, TX
ZIP 75601
Phone: (903) 918-5806
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SABINE VALLEY REGIONAL MHMR CENTER is a specialist in Longview, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SABINE VALLEY REGIONAL MHMR CENTER NPI is 1821214537. The provider is registered as an organization entity type.
The provider Is Doing Business As Early Childhood Intervention.

The provider's business location address is:

107 WOODBINE PL UNIT 775
LONGVIEW, TX
ZIP 75601-912
Phone: (903) 918-5806
Fax: (903) 295-5803

The provider's authorized official is Rosemary O Villarreal .
The authorized official title is Provider Enrollment/credentialing and has the following contact phone number (903) 234-4226.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 9/23/2021.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesNo
2174400000XSpecialistYes

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
1137921605MEDICAIDTEXAS

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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