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General NPI Number Information
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NPI Number | 1568031771
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Entity Type | Organization
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Legal Business Name | PRIORITY BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 101 W HAWKINS PKWY STE 1
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City | LONGVIEW
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State | TX
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Zip | 75605-1833
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Country | US
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Telephone | 903-331-0162
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Fax | 903-331-0132
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Provider Business Mailing Address
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Address Line | 101 W HAWKINS PKWY STE 1
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City | LONGVIEW
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State | TX
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Zip | 75605-1833
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Country | US
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Telephone | 903-331-0162
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Fax | 903-331-0132
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Authorized Official
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Title or Position | PROPRIETOR/NURSE PRACTITIONER
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Name | JOYCE E GENTRY
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Credential | PMHNP-BC, FNP-C
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Telephone | 903-331-0162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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