Organization Active NPI

M & M Recovery Management

  • Addiction (Substance Use Disorder) Counselor
  • Tyler, TX
National Provider Identifier
1265809503
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12715 Issued in TX
Legal business name
M & M RECOVERY MANAGEMENT
Practice address
2010 Sybil LN Ste 130
Tyler, TX 75703-1829
Phone
(903) 363-9063
Fax
(903) 363-9067
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda G Gay, LCDCNPI 1174998488
Title
Ceo
Phone
(903) 363-9063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 12715 TX Primary

Addresses

Primary practice location

2010 Sybil LN Ste 130
Tyler, TX 75703-1829

Mailing address

2010 Sybil LN Ste 130
Tyler, TX 75703-1829
Phone (903) 363-9063

National Provider Directory

National Provider Directory

Locations

2010 Sybil Ln
Ste 130
Tyler, TX 75703
Phone (903) 363-9063

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1265809503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 SYBIL LN STE 130",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031829",
            "telephone_number": "903-363-9063",
            "fax_number": "903-363-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SYBIL LN STE 130",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031829",
            "telephone_number": "903-363-9063",
            "fax_number": "903-363-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M RECOVERY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-363-9063",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.