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COASTAL PLAINS COMMUNITY MHMR NPI 1962552109


NPI Information

NPI: 1962552109
Provider Name: COASTAL PLAINS COMMUNITY MHMR

Doing Business As: COASTAL PLAINS COMMUNITY CENTER

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
200 MARRIOTT DR
PORTLAND, TX
ZIP 78374
Phone: (361) 777-3991
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COASTAL PLAINS COMMUNITY MHMR is a psychiatry psychiatry neurology in Portland, TX. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. COASTAL PLAINS COMMUNITY MHMR NPI is 1962552109. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Plains Community Center.

The provider's business location address is:

200 MARRIOTT DR
PORTLAND, TX
ZIP 78374-213
Phone: (361) 777-3991
Fax: (361) 777-0610

The provider's authorized official is Leonel Trejo .
The authorized official title is Chief Executive Officer and has the following contact phone number (361) 777-3991.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 6/14/2023.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
22084P0800XPsychiatry & NeurologyPsychiatryYes

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
1080368601MEDICAIDTEXAS

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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