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Organization
GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Organization
GULF BEND MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Other names
Gulf Bend Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY TUNNELL (EXECUTIVE DIRECTOR)
(361) 575-0611
Entity
Organization
Contact information
Practice address
6502 NURSERY DR, SUITE 100, VICTORIA, TX 77904-1178
(361) 575-0611
(361) 575-0626
Mailing address
6502 NURSERY DRIVE, SUITE 100, VICTORIA, TX 77904
(361) 575-0611
(361) 579-6913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
163W00000X
Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135254407
—
TX
Enumeration date
11/16/2005
Last updated
09/03/2024
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