Active NPI
Courtesy Community Mental Health Center Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Livingston, TX
National Provider Identifier
1487989554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- COURTESY COMMUNITY MENTAL HEALTH CENTER INC
- Practice address
- 414 S. Washington Ave.
Livingston, TX 77351-9087 - Phone
- (936) 327-5022
- Fax
- (936) 327-5023
- NPI assigned
- Oct 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dina L Dickerson
- Title
- Ceo
- Phone
- (936) 327-5022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | TX | Primary |
Addresses
Primary practice location
414 S. Washington Ave.
Livingston, TX 77351-9087
Mailing address
414 S Washington Ave
Livingston, TX 77351-3447
Phone (936) 327-5022
National Provider Directory
National Provider DirectoryLocations
414 S Washington Ave
Livingston, TX 77351
Phone (936) 327-5205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Houston, TX
- NPI 1639171515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1487989554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 S WASHINGTON AVE",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773513447",
"telephone_number": "936-327-5022",
"fax_number": "936-327-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 S. WASHINGTON AVE.",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773519087",
"telephone_number": "936-327-5022",
"fax_number": "936-327-5023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURTESY COMMUNITY MENTAL HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-07",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "DINA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "936-327-5022"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.