Organization
FIRST STEP DENTON COUNTY OUTREACH PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY EDWARD CULBERSON (EXECUTIVE DIRECTOR)
(940) 497-5576
Entity
Organization
Contact information
Practice address
1406 N CORINTH ST STE 401, CORINTH, TX 76208-5449
(940) 497-5576
(940) 497-5585
Mailing address
1406 NORTH CORINTH STREET SUITE 401, CORINTH, TX 76208-5449
(940) 497-5576
(940) 497-5585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5244
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
5244
TX
101YP2500X
Professional Counselor
5244
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
5244
TX
103TB0200X
Cognitive & Behavioral Psychologist
5244
TX
103TC1900X
Counseling Psychologist
5244
TX
103TR0400X
Rehabilitation Psychologist
5244
TX
104100000X
Social Worker
5244
TX
251300000X
Local Education Agency (LEA)
5244
TX
251S00000X
Community/Behavioral Health Agency
Primary
5244
TX
261QR0400X
Rehabilitation Clinic/Center
5244
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
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Other
Enumeration date
03/03/2010
Last updated
11/05/2012
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