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NPI Code Detail

MEDICARE: DENTON COUNTY MHMR CENTER

MEDICARE: DENTON COUNTY MHMR CENTER
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
1171M00000XCase Manager/Care Coordinator
2251B00000XCase Management Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
52084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578551347
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTON COUNTY MHMR CENTER
Provider Business Mailing Address
First Line : PO BOX 2346
Second Line :
City : DENTON
State : TX
Zip : 76202-2346
Country : US
Telephone Number : 940-381-5000
Fax Number : 940-382-3707
Provider Business Practice Location Address
First Line : 2519 SCRIPTURE ST
Second Line :
City : DENTON
State : TX
Zip : 76201-2324
Country : US
Telephone Number : 940-381-5000
Fax Number : 940-383-1804
Authorized Official
Title or Position : CEO
Name : PAM GUTIERREZ
Credential :
Telephone Number : 940-565-5210
Provider Enumeration Date : 10/06/2005
Last Update Date : 02/14/2025

Similar Medicare Providers

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Practice Location Address:
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1538291604 — DR. SREE L PALCHURU M.D.
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1558578898 — TAMMY WEPPELMAN MS CRC LPC
Practice Location Address:
2519 SCRIPTURE ST
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76201-2324
Practice Phone: 940-565-5226
Practice Fax: 940-566-6614

Directions to “DENTON COUNTY MHMR CENTER ” Practice Location

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