Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Acres Baptist Church

Organization Counselor · NPI 1376228619

Green Acres Baptist Church is a Counselor in Tyler, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5755 Eagles Nest Blvd Ste 4
Tyler, TX 75703-6236
Phone: (903) 533-1817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1376228619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Cornelius — Clinic Director · (903) 533-1817
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address1607 Troup Hwy, Tyler, TX 75701-5799

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