Organization · Type 2 NPI
Hickory Longview LLC
Substance Abuse Rehabilitation Facility · Longview, TX
NPI number
1902621949
Active
Practice location
22 Bermuda Ln
Longview, TX 75605-2902
Mailing address
3960 Southeastern Ave
Indianapolis, IN 46203-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6 other providers at this address
- Behavioral Hospital of Longview, LLCPsychiatric Hospital Longview, TX NPI 1487839023
- East Texas Psychiatry AssociatesChild & Adolescent Psychiatry Physician Longview, TX NPI 1790832749
- Longview Recovery LLCPsychiatric Hospital Longview, TX NPI 1487367520
- Oglethorpe of Longview LLCPsychiatric Hospital Longview, TX NPI 1669796777
- Clinton Conell Price, MDChild & Adolescent Psychiatry Physician Longview, TX NPI 1720169253
- Mary Ann Gamel, MSN, FNP-BCFamily Nurse Practitioner Longview, TX NPI 1457370298
About NPI 1902621949
Hickory Longview LLC's National Provider Identifier is 1902621949, issued on Nov 15, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Longview, TX. The record was last updated on Apr 23, 2025.