G and T Young at Heart

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

G AND T YOUNG AT HEART

Practice address

1012 E Cotton St
Longview, TX 75602-1322

Phone

(903) 236-5054

NPI assigned

Feb 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Jones

Title

Ceo

Phone

(903) 236-5054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550361600000",
    "number": "1639635444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5482",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085482",
            "telephone_number": "903-236-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E COTTON ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756021322",
            "telephone_number": "903-236-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G AND T YOUNG AT HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-236-5054",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela J Fugler, LCSW
• Melissa Fulling, LPC
• Janet Tate Furlow, CCC/SLP
• Michel Victor Furtado Araujo, DDS, MSC, MDS
• Makena Stone Futrell, LPCA
• G. McBride Inc
• Gab Health Services P.a.
• Joanne Camille Gabriel
• Marla Denise Gabriel, LVN
• Sindhuja Gade

• All providers in Longview, TX
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.