Organization
TYLER COUNSELING & ASSESSMENT CENTER
Active
Other names
Tyler Counseling & Assessment Center
Organization subpart
No
Provider details
NPI number
Authorized official
RON L ROBERTS MS (PRESIDENT)
(903) 581-0933
Entity
Organization
Contact information
Practice address
1121 E SOUTHEAST LOOP 323, STE.204, TYLER, TX 75701-9660
(903) 581-0933
(903) 581-3977
Mailing address
1121 E SOUTHEAST LOOP 323, STE.204, TYLER, TX 75701-9660
(903) 581-0933
(903) 581-3977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080723201
—
TX
Enumeration date
08/31/2006
Last updated
05/05/2021
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