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NPI Code Detail

MEDICARE: GERCY LLC

MEDICARE: GERCY LLC
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1952250698
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERCY LLC
Provider Business Mailing Address
First Line : 7312 LOUETTA RD STE B118-210
Second Line :
City : SPRING
State : TX
Zip : 77379-6175
Country : US
Telephone Number : 832-349-5380
Fax Number :
Provider Business Practice Location Address
First Line : 5002 ROTH FOREST LN
Second Line :
City : SPRING
State : TX
Zip : 77389-4186
Country : US
Telephone Number : 832-349-5380
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. CHARLETA COOK
Credential :
Telephone Number : 832-349-5380
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “GERCY LLC ” Practice Location

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