=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467594457
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | N.F. MCINTYRE COUNSELING CO.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2007
-----------------------------------------------------
Last Update Date | 06/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3012 S.W. 26TH AVENUE SUITE 700
-----------------------------------------------------
City | AMARILLO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79109-3177
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-331-4300
-----------------------------------------------------
Fax | 806-467-9332
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3893
-----------------------------------------------------
City | AMARILLO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79116-3893
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 806-331-4300
-----------------------------------------------------
Fax | 806-467-9332
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | NANETTE F MCINYRE
-----------------------------------------------------
Credential | L.P.C.
-----------------------------------------------------
Telephone | 806-331-4300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | 4265
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number | 15942
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------