Christ Umc Dba Mending Hearts Grief Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62429 Issued in TX

Legal business name

CHRIST UMC DBA MENDING HEARTS GRIEF CENTER

Practice address

2112 Southwood Dr
College Station, TX 77840-4863

Phone

(979) 704-6406

NPI assigned

Apr 6, 2016

Organization subpart

No

Name

Tommy Myrick, LPC-S

Title

Director

Phone

(979) 690-4673

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi A. Dixon, LPC-ASSOCIATE

  • Professional Counselor
  • College Station, TX
  • NPI 1649133653

  Professional

  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2016.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1083078992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 STATE HIGHWAY 6 S",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458967",
            "telephone_number": "979-690-4673",
            "fax_number": "979-690-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 SOUTHWOOD DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778404863",
            "telephone_number": "979-704-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST UMC DBA MENDING HEARTS GRIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "MYRICK",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "979-690-4673",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavan K Chiluvoju, DDS
• Jaiden M Chism
• Maryann Miyun Choi I, M.D.
• Rakin H Choudhury, MD
• Margarita Chouliara
• Karis Christian
• Matthew Christy
• Bunnath Hou Chy, PHARM.D.
• City of College Station
• Clarity & Connection Counseling PLLC

• All providers in College Station, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.