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Contact Information

GEORGETOWN PSYCHOTHERAPY, PLLC
518 E HOSPITAL STREET
NACOGDOCHES, TX75961
 Phone: 936-462-8577
 Fax: 936-228-9072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GEORGETOWN PSYCHOTHERAPY, PLLC

NPI # 1225351794
LBN Legal business name GEORGETOWN PSYCHOTHERAPY, PLLC
Authorized official SYDNEY REGISTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2010
Last updated 06/15/2021 - About 5 years ago
Identifiers
TX License # 34032
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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