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Alicia Childress, LCDC

Counselor, Addiction (Substance Use Disorder) in Longview, TX. Individual provider (NPI-1).

NPI number1295699809
StatusActive
Last updated in NPPESDec 10, 2025

Details

NPI
1295699809
Entity type
Individual (NPI-1)
Name
Alicia Childress
Credential
LCDC
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 10, 2025
Certification date
Dec 10, 2025
Last updated
Dec 10, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)17600TXYes

Practice location

950 N 4th St
Longview, TX 75601-5436

Phone 800-446-8253 · Fax 903-234-1639

Mailing address

950 N 4th St
Longview, TX 75601-5436

Phone 800-446-8253 · Fax 903-234-1639

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Longview, TX

All 46 Addiction (Substance Use Disorder) Counselor providers in Longview · All 2,907 providers in Longview

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