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NPI Code Detail

MEDICARE: TRI COUNTY BEHAVORIAL HEALTHCARE

MEDICARE: TRI COUNTY BEHAVORIAL HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD1600XDevelopmental Disabilities Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386684793
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI COUNTY BEHAVORIAL HEALTHCARE
Provider Business Mailing Address
First Line : PO BOX 3067
Second Line :
City : CONROE
State : TX
Zip : 77305-3067
Country : US
Telephone Number : 936-521-6100
Fax Number :
Provider Business Practice Location Address
First Line : TRI-COUNTY BEHAVORIAL HEALTHCARE
Second Line : 233 SGT ED HOLCOMB BLVD S
City : CONROE
State : TX
Zip : 77304-1990
Country : US
Telephone Number : 936-521-6100
Fax Number : 936-760-2898
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : EVAN ROBERSON
Credential :
Telephone Number : 936-521-6100
Provider Enumeration Date : 06/07/2006
Last Update Date : 04/10/2024

Similar Medicare Providers

1013780238 — LAUREN BAUMGARTNER MA, LPC
Practice Location Address:
233 SGT ED HOLCOMB BLVD S
CONROE, TX
77304-1990
Practice Phone: 936-521-6100
Practice Fax:
1699628198 — KELLY DENISE GODWIN LPC
Practice Location Address:
233 SGT ED HOLCOMB BLVD S
CONROE, TX
77304-1990
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Practice Fax:
1376279752 — DRAUGHN ATTAYA EMERSON LCSW
Practice Location Address:
233 SGT ED HOLCOMB BLVD S
CONROE, TX
77304-1990
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Practice Fax:
1437143344 — JOHN MARSHALL BRAGG LPC
Practice Location Address:
233 SGT ED HOLCOMB BLVD S
CONROE, TX
77304-1990
Practice Phone: 936-521-6446
Practice Fax:
1669454468 — JANET ELAINE PAYNE NP
Practice Location Address:
233 SGT ED HOLCOMB BLVD S
CONROE, TX
77304-1990
Practice Phone: 936-521-6100
Practice Fax: 936-760-2898
1750337465 — TRI-COUNTY BEHAVIORAL HEALTHCARE
Practice Location Address:
233 SGT ED HOLCOMB BLVD S
CONROE, TX
77304-1990
Practice Phone: 936-521-6100
Practice Fax: 936-760-2898

Directions to “TRI COUNTY BEHAVORIAL HEALTHCARE ” Practice Location

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