Maternal Mental Health of East Texas

NPI #1417770967 in Tyler, Texas

Provider Information

NPI Number: 1417770967
Entity Type: Organization
Organization Name: Maternal Mental Health of East Texas
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 4, 2024
Last Updated: Nov 4, 2024

Practice Location

Address: 100 INDEPENDENCE PL STE 201
City: Tyler
State: Texas
ZIP Code: 75703-1327
Phone: (903) 805-0531

Authorized Official

Name: MELODYE PHILLIPS
Title: THERAPIST
Phone: (903) 805-0531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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