Organization
NEW LEAF BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J NYBERG (OWNER)
(940) 761-9700
Entity
Organization
Contact information
Practice address
719 SCOTT AVE STE 620, WICHITA FALLS, TX 76301-2610
(940) 761-9700
(970) 761-9704
Mailing address
719 SCOTT AVE STE 620, WICHITA FALLS, TX 76301-2610
(940) 761-9700
(970) 761-9704
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/19/2018
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