Healthcare Provider Details

I. General information

NPI: 1245344472
Provider Name (Legal Business Name): HEALTH AND HUMAN SERVICES COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4730 COLLEGE DR
VERNON TX
76384-4009
US

IV. Provider business mailing address

701 W 51ST ST
AUSTIN TX
78751-2312
US

V. Phone/Fax

Practice location:
  • Phone: 940-552-4055
  • Fax: 940-553-2523
Mailing address:
  • Phone: 512-438-5618
  • Fax: 512-438-4220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number StateTX

VIII. Authorized Official

Name: MS. LINDA GARNETT
Title or Position: PROGRAM SUPERVISOR
Credential:
Phone: 512-658-4099