NPIMap

Organization Active NPI

Tommy L. Pool, II

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Odessa, TX
National Provider Identifier
1891205217
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
65821 Issued in TX
Legal business name
TOMMY L. POOL, II
Doing business as
Holistic Wellness Institute
Practice address
1205 W University Blvd
Odessa, TX 79764-7119
Phone
(432) 653-4981
Fax
(877) 614-6254
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Tommy L. Pool II, LPC, LCDC, SAP
Title
Clinical Director
Phone
(432) 653-4981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 65821 TX Primary

Addresses

Primary practice location

1205 W University Blvd
Odessa, TX 79764-7119

Mailing address

1205 W University Blvd
Odessa, TX 79764-7119
Phone (432) 653-4981

Other identifiers 1

IdentifierTypeStateIssuer
10857OtherTXTEXAS DEPARTMENT OF STATE HEALTH SERVICES

Other names 1

  • Holistic Wellness Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holistic Wellness Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1891205217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 W UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797647119",
            "telephone_number": "432-653-4981",
            "fax_number": "877-614-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797647119",
            "telephone_number": "432-653-4981",
            "fax_number": "877-614-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY L. POOL, II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "432-653-4981",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC, LCDC, SAP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "65821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "10857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.