Organization
BEHAVIORAL EMOTIONAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NITA JOYCE CHILDERS (OFFICE MGR)
(903) 655-8569
Entity
Organization
Contact information
Practice address
1100 STONE ROAD, SUITE 102, KILGORE, TX 75662
(903) 655-8569
(903) 655-6481
Mailing address
1100 STONE ROAD, SUITE 102, KILGORE, TX 75662
(903) 655-8569
(903) 655-6481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097DZ
BLUE CROSS BLUE SHIELD
TX
01
—
318128
VALUE OPTIONS
TX
Enumeration date
01/05/2007
Last updated
02/05/2008
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