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Organization

VETA LEWIS BEHAVIORAL HEALTHCARE GROUP, PC

Active
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Organization

VETA LEWIS BEHAVIORAL HEALTHCARE GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARILYN ANN HODGE (OFFICE MANAGER)
(903) 757-5200
Entity
Organization

Contact information

Practice address
1800 JUDSON RD, SUITE 100, LONGVIEW, TX 75605-4708
(903) 757-5200
(903) 757-5203
Mailing address
1800 JUDSON RD, 100, LONGVIEW, TX 75605-4708
(903) 757-5200
(903) 757-5203

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/26/2011
Last updated
12/07/2011
About Stedi
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  • EDI platform