Tri-State Area Behavioral Health LLC
Counselor, Professional in Perryton, TX. Organization (NPI-2).
NPI number1407561541
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1407561541
- Entity type
- Organization (NPI-2)
- Legal business name
- Tri-State Area Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jan 23, 2023
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
1305 S Harvard StPerryton, TX 79070-4412
Phone 806-202-8681
Mailing address
1305 S Harvard StPerryton, TX 79070-4412
Phone 806-202-8681
Authorized official
Kathi Boren
Sole Member
8062028681
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