Organization · Type 2 NPI

Mobberly Baptist Church

Community/Behavioral Health Agency · Longview, TX

NPI number 1902373764 Active

Practice location

3032 N Eastman Rd Ste Longview
Longview, TX 75605-5019

Call (903) 252-4673 Map

Mailing address

625 E Loop 281
Longview, TX 75605-5004

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1902373764
Entity type: Organization (Type 2)
Issued: Oct 30, 2018
Last updated: Jun 11, 2019
Status: Active
Subpart: Yes of Mobberly Baptist Church

Other names

Hope Road Counseling · doing business as

Authorized official

Dr. Gregg Zackary
Pastor of Marriage & Family Counsel
(903) 252-4673

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902373764

Mobberly Baptist Church's National Provider Identifier is 1902373764, issued on Oct 30, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Longview, TX. The record was last updated on Jun 11, 2019.