National Mentor Healthcare
Social Worker, Clinical in Austin, TX. Organization (NPI-2).
NPI number1861607186
StatusActive
Last updated in NPPESMar 19, 2023
Details
- NPI
- 1861607186
- Entity type
- Organization (NPI-2)
- Legal business name
- National Mentor Healthcare
- Organization subpart
- No
- Enumeration date
- May 11, 2007
- Certification date
- Mar 19, 2023
- Last updated
- Mar 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 30997 | TX | Yes |
| 251B00000X | Case Management | 0000H08EW | TX | |
| 253J00000X | Foster Care Agency | 0000H08EW | TX |
Other names
- Texas Mentor (Doing Business As)
Practice location
4150 Freidrich Ln Bldg NSuite G
Austin, TX 78744-1800
Phone 512-326-8866 · Fax 512-326-4102
Mailing address
313 Congress StBoston, MA 02210-1218
Phone 800-388-5150 · Fax 617-790-4271
Authorized official
Brett Ian Cohen
Coo
8003885150
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