Healthcare Provider Details

I. General information

NPI: 1568031771
Provider Name (Legal Business Name): PRIORITY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W HAWKINS PKWY STE 1
LONGVIEW TX
75605-1833
US

IV. Provider business mailing address

101 W HAWKINS PKWY STE 1
LONGVIEW TX
75605-1833
US

V. Phone/Fax

Practice location:
  • Phone: 903-331-0162
  • Fax: 903-331-0132
Mailing address:
  • Phone: 903-331-0162
  • Fax: 903-331-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOYCE E GENTRY
Title or Position: PROPRIETOR/NURSE PRACTITIONER
Credential: PMHNP-BC, FNP-C
Phone: 903-331-0162