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NPI Code Detail

MEDICARE: NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR.

MEDICARE: NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR.
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
1106H00000XMarriage & Family Therapist
2101YM0800XMental Health Counselor

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 : 1467463042
Entity Type Code : Organization
Provider Name (Legal Business Name) : NUECES COUNTY MENTAL HEALTH & MENTAL RETARDATION COMMUNITY CTR.
Provider Business Mailing Address
First Line : PO BOX 71029
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78467-1029
Country : US
Telephone Number : 361-886-6900
Fax Number : 361-886-1379
Provider Business Practice Location Address
First Line : 3733 S PORT AVE
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-4532
Country : US
Telephone Number : 361-886-6900
Fax Number :
Authorized Official
Title or Position : DEPUTY CEO
Name : MARK HENDRIX
Credential :
Telephone Number : 361-886-6900
Provider Enumeration Date : 08/10/2006
Last Update Date : 10/22/2025

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