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Organization
TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION
Active
Organization
TEXAS PANHANDLE MENTAL HEALTH MENTAL RETARDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA MARIE MARTINEZ (REIMBURSEMENT COORDINATOR)
(806) 351-3200
Entity
Organization
Contact information
Practice address
901 WALLACE BLVD, BUILDING 501, AMARILLO, TX 79106-1705
(806) 351-3200
(806) 351-3344
Mailing address
901 WALLACE BLVD BLDG 501, AMARILLO, TX 79106-1705
(806) 351-3200
(806) 351-3344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
TX
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127378103
—
TX
Enumeration date
03/20/2006
Last updated
02/25/2026
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