Anderson Cherokee Community Enrichment Services
Organization Active NPI Psychologist · Jacksonville, TX
NPI 1497759237 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1497759237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- ANDERSON CHEROKEE COMMUNITY ENRICHMENT SERVICES
- Practice address
- 5656 N Jackson St
Jacksonville, TX 75766-9641 - Phone
- (903) 589-9000
- Fax
- (903) 586-9200
- NPI assigned
- Jun 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Allyn Lang
- Title
- Executive Director
- Phone
- (903) 586-5507
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Anderson Cherokee Community Enrichment Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | TX | Yes |
Addresses
Primary practice location
5656 N Jackson St
Jacksonville, TX 75766-9641
Mailing address
913 N Jackson St
Jacksonville, TX 75766-3801
Phone (903) 586-5507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T09Z | Other | TX | BLUE CROSS &BLUE SHIEILD |
Other names
- ACCESS
Other providers in Jacksonville, TX
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
- Anderson Cherokee Community Enrichment Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.