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Organization
TEXOMA COMMUNITY CENTER
Active
Organization
TEXOMA COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY M LEWIS (CREDENTIALING)
(903) 957-4869
Entity
Organization
Contact information
Practice address
315 W MCLAIN DR, SHERMAN, TX 75092-2605
(903) 957-4861
(903) 957-3416
Mailing address
PO BOX 1087, SHERMAN, TX 75091-1087
(903) 957-4861
(903) 957-3416
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130723306
—
TX
Enumeration date
10/31/2006
Last updated
10/27/2022
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