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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251V00000X | Voluntary or Charitable | Agencies | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | PRIVATE INSURANCE | 17799986 | 01 |
Street Address |
15360 FM 850 |
City | TYLER |
State | TX |
Zip Code | 75707-3916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073077673 | Hobert Stanley Miller | Counselor | 15360 Fm 850, Tyler, TX 75707-3916 | 2019-01-28 |
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 Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
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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.