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

Methadone Clinic of East Texas LLC

Organization Community/Behavioral Health Agency · NPI 1104144088

Methadone Clinic of East Texas LLC is a Community/Behavioral Health Agency in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1510 S Vine Ave
Tyler, TX 75701-2826
Phone: (800) 805-6989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 000039 (TX)
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Primary Care Clinic/Center Taxonomy 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X (TX)

Record details

NPI number1104144088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rupert McCormac — Chief Executive Officer · (800) 805-6898
Other names Crossroads Treatment Centers Tyler
NPI enumeratedMay 17, 2010
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing addressPo Box 749057, Atlanta, GA 30374-9057

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