NPI | 1790507028 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS TELLIS Community Health Worker 469-584-0824 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103K00000X Behavior Analyst | |
1041C0700X Social Worker, Clinical | |
106S00000X Behavior Technician | |
171400000X Health & Wellness Coach | |
174400000X Specialist | |
175T00000X Peer Specialist | |
208U00000X Clinical Pharmacology | |
261QC1500X Clinic/Center, Community Health | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM1300X Clinic/Center, Multi-Specialty | |
343900000X Non-emergency Medical Transport (VAN) | |
363LP0200X Nurse Practitioner, Pediatrics | |
374J00000X Doula | |
Enumeration Date | 2024-10-28 |
Last Update Date | 2025-08-06 |