New Destinations

Organization Active NPI Occupational Therapist · Tenaha, TX

NPI 1235367384 · NPPES record last updated Jul 2, 2010

Key facts

NPI
1235367384
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
License
106894 (TX)
Legal business name
NEW DESTINATIONS
Practice address
649 County Road 433
Tenaha, TX 75974-6332
Phone
(936) 248-2322
NPI assigned
Jun 29, 2009
Organization subpart
No

Authorized official

Name
Ms. Terrie Mae King, LOT
Title
Program Coordinator
Phone
(903) 692-3463

Practitioners 2

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X 20345 TX
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X 106894 TX Yes

Addresses

Primary practice location

649 County Road 433
Tenaha, TX 75974-6332

Mailing address

PO Box 1515
Carthage, TX 75633-7515
Phone (936) 248-2322

Other providers in Tenaha, TX

All providers in Tenaha, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.