Dogwood Mental Health and Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34017 Issued in TX

Legal business name

DOGWOOD MENTAL HEALTH AND WELLNESS, LLC

Practice address

412 North St
Suite B
Nacogdoches, TX 75961-5077

Phone

(936) 622-0993

Fax

(936) 622-0994

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Haskell Stephen Cooper, PHD, LCSW

Title

Managing Member

Phone

(936) 622-0993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Angela Christine Cooper, LPC

  • Professional Counselor
  • Nacogdoches, TX
  • NPI 1811155971
  NPD

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1366865370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632279",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632279",
            "telephone_number": "936-622-0993",
            "fax_number": "936-622-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NORTH ST",
            "address_2": "SUITE B",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615077",
            "telephone_number": "936-622-0993",
            "fax_number": "936-622-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "HASKELL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "936-622-0993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "34017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria Donoway, SLP-A

• Clinical Social Worker in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.