NPI 1154722908 · live from the CMS NPI Registry
164 Counseling Services
Counselor, Addiction (Substance Use Disorder) in Hubbard, TX. National Provider Identifier 1154722908, active.
NPI record
| NPI | 1154722908 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Addiction (Substance Use Disorder) 101YA0400X |
| Practice location | 701 Ne 5th St, Suite A, Hubbard, TX 76648 |
| Practice phone | 254-576-1040 |
| Mailing address | 5526 Dyer St, Dallas, TX 75206 |
| Enumerated | September 11, 2014 |
| Last updated | September 11, 2014 |
| Authorized official | William Porter, Owner, Ceo |
| Other names | 164 Recovery Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) primary | 101YA0400X | 3775-3776 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.