Healthcare Provider Details

I. General information

NPI: 1184007171
Provider Name (Legal Business Name): SPIRITUAL AND BEHAVIORAL HEALTH CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N HIGH ST UNIT 13
LONGVIEW TX
75601-5105
US

IV. Provider business mailing address

2336 S MOBBERLY AVE # 7153
LONGVIEW TX
75602-3864
US

V. Phone/Fax

Practice location:
  • Phone: 817-607-3868
  • Fax: 855-541-0383
Mailing address:
  • Phone: 817-607-3868
  • Fax: 855-541-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number36150
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOYCELYN WILLIAMS THOMAS
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 817-607-3868