Organization
GULF BEND MHMR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY 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 DR, SUITE 100, VICTORIA, TX 77904-1178
(361) 575-0611
(361) 575-0626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135254404
—
TX
Enumeration date
03/17/2006
Last updated
03/25/2025
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