Organization
PASSAGES ABILENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD DOLTON (TREASURER)
(325) 864-1197
Entity
Organization
Contact information
Practice address
490 VINSON RD S, ABILENE, TX 79602-4424
(325) 733-8888
Mailing address
490 VINSON RD S, ABILENE, TX 79602-4424
(325) 733-8888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063961209
NPI
—
01
—
1710459060
NPI
—
05
—
345282301
—
TX
Enumeration date
09/14/2021
Last updated
12/23/2021
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