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GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER NPI 1467434399


NPI Information

NPI: 1467434399
Provider Name: GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER

Doing Business As: GULF BEND CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
6502 NURSERY DR
SUITE 100
VICTORIA, TX
ZIP 77904
Phone: (361) 575-0611
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GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER is an addiction (substance use disorder) counselor in Victoria, TX. GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER NPI is 1467434399. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gulf Bend Center.

The provider's business location address is:

6502 NURSERY DR
SUITE 100
VICTORIA, TX
ZIP 77904-178
Phone: (361) 575-0611
Fax: (361) 575-0626

The provider's authorized official is Jeffery Tunnell .
The authorized official title is Chief Executive Officer and has the following contact phone number (361) 575-0611.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 1/12/2023.


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
1163W00000XRegistered NurseNo
2164X00000XLicensed Vocational NurseNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8101YA0400XCounselorAddiction (Substance Use Disorder)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
1135254407MEDICAIDTEXAS

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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