Organization
SABINE VALLEY REGIONAL MHMR CENTER
Active
Other names
Community Healthcore
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY O VILLARREAL (CREDENTIALING SPECIALIST)
(903) 234-4226
Entity
Organization
Contact information
Practice address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 758-2471
(903) 234-1639
Mailing address
PO BOX 6800, LONGVIEW, TX 75608-6800
(903) 758-2471
(903) 234-1639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BM15
BLUE CROSS BLUE SHIELD
TX
01
—
129201
SUPERIOR HEALTH PLAN CHIP
TX
05
—
137921601
—
TX
05
—
137921602
—
TX
05
—
137921606
—
TX
05
—
137921607
—
TX
05
—
137921608
—
TX
01
—
CB6459
RAILROAD MEDICARE
TX
Enumeration date
12/18/2006
Last updated
05/23/2025
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