Green Acres Baptist Church
Green Acres Baptist Church is a Professional Counselor in Tyler, Texas. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5755 Eagles Nest Blvd Ste 4Tyler, TX 75703-6236
Phone: (903) 533-1817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1437838612 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaime Cornelius — Clinic Director · (903) 533-1817 |
| NPI enumerated | July 14, 2023 |
| Last updated in NPPES | July 20, 2023 |
| Certification date | July 20, 2023 |
| Mailing address | 1607 Troup Hwy, Tyler, TX 75701-5799 |
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