SACRED HOLISTIC PATH SANCTUARY REFUGE INCORPORATED


Address: 15360 Fm 850, Tyler, TX 75707-3916
Phone: 9366459939

SACRED HOLISTIC PATH SANCTUARY REFUGE INCORPORATED (NPI# 1235792599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235792599
Entity Type Organization
Organization Name SACRED HOLISTIC PATH SANCTUARY REFUGE INCORPORATED
Practice Address 15360 Fm 850
Tyler
TX 75707-3916
Mailing Address P.o. Box 9636
Tyler
TX 75711
Practice Telephone 9366459939
Practice Fax Number 9032530466
Mailing Telephone 9366459939
Enumeration Date 2019-04-22
Last Update Date 2019-07-03
Authorized Official Name HOBERT STANLEY MILLER (PRESIDENT)
Authorized Official Telephone 9037326271
Authorized Official Credential LMSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251V00000X Voluntary or Charitable Agencies
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TX PRIVATE INSURANCE 17799986 01

Office Location

Street Address 15360 FM 850
City TYLER
State TX
Zip Code 75707-3916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073077673 Hobert Stanley Miller Counselor 15360 Fm 850, Tyler, TX 75707-3916 2019-01-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063916351 Veronica Miller Registered Nurse 3928 Mobley Lane, Tyler, TX 75707 2018-03-21
1023548187 Juan Fernando Melgoza Jr. Specialist/Technologist 13172 Tx-64, Tyler, TX 75707 2017-06-12
1396291969 The Center At Grande, LLC Skilled Nursing Facility 3219 East Grande Blvd, Tyler, TX 75707 2016-09-01
1730432493 Michelle Tucker Clinic/Center 5011 Troup Hwy Ste 100, Tyler, TX 75707 2012-10-18
1275724569 Johnson Chiropractic Center Chiropractor 5400 University Blvd, 103, Tyler, TN 75707 2007-08-05
1104851096 Raymond F Jordan Family Medicine 12295 Hwy. 64 E, Tyler, TX 75707 2006-07-11
1033514096 David Comins Wheeler Counselor 5875 Grace Ave, Tyler, TX 75707-0006 2014-11-01
1497318968 Haley Lynn Dominy Licensed Vocational Nurse 6028 Grace Ave, Tyler, TX 75707-0007 2019-04-19
1710947957 Doug Hodde Family Medicine 3593 E Grande Blvd, Tyler, TX 75707-1400 2006-03-23
1851839120 Trinity Clinic Clinic/Center 3593 E Grande Blvd, Tyler, TX 75707-1400 2017-02-07
Find all providers in zip 75707

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093273245 Winning Edge Employment Services LLC Community/Behavioral Health 1530 S Sw Loop 323 Ste 104, Tyler, TX 75701-2558 2019-03-06
1629434055 Autism Response Team of Texas, Inc Community/Behavioral Health 120 E South Town Dr, Tyler, TX 75703-4747 2016-01-14
1508140963 Linda Vernell Harris Community/Behavioral Health 224 Barbee Dr, Tyler, TX 75703-4403 2011-10-04
1851942270 Aurora Valdovinos, Lmft-s Community/Behavioral Health 1800 Shiloh Rd Ste 101, Tyler, TX 75703-2456 2019-09-26
1750849840 Susan G Ponder Community/Behavioral Health 1530 S Sw Loop 323 Ste 104, Tyler, TX 75701-2558 2019-03-07
1720543895 360 Behavioral Health of Texas LLC Community/Behavioral Health 120 E South Town Dr, Tyler, TX 75703-4747 2019-02-04
1326490186 Next Step Community Solutions Community/Behavioral Health 305 S Broadway Ave, Suite 603, Tyler, TX 75702-7307 2016-07-05
1912361841 Benjamin Daniel Boynton Phd Pllc Community/Behavioral Health 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 2016-04-06
1922482751 Andrews Center Community/Behavioral Health 2323 W Front St, Tyler, TX 75702-7704 2015-07-10
1295148989 Goodwill Industries of East Texas, Inc. Community/Behavioral Health 409 W Locust St, Tyler, TX 75702-5644 2014-06-10
Find all providers in TYLER

Competitor

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City TYLER
Zip Code 75707

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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