MEDICARE: VISIONARY MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1104624600
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIONARY MENTAL HEALTH

Provider Business Mailing Address
First Line	:	2501 PALMER HWY
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-7069
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 PALMER HWY
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-7069
Country	:	US
Telephone Number	:	346-601-4450
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL MERCIER
Credential	:
Telephone Number	:	346-601-4450

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

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Directions to “VISIONARY MENTAL HEALTH ” Practice Location

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