Wallace Place In The Pines

LBN: Wallace Place In The Pines
Wallace Place In The Pines is an health care organization with primary practice located at 1706 Davis Ave , Livingston TX 77351-2004. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Poetry Therapist, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Wallace Place In The Pines can be contacted via phone (936) 223-4542, or through Wallace, Barbara Ann via phone (936) 662-5617.

Contact Information

Primary practice address
1706 Davis Ave Livingston TX 77351-2004
Phone: (936) 223-4542
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Barbara Ann
Phone: (936) 662-5617

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Poetry Therapist 102X00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1194382374
LBN Legal business name Wallace Place In The Pines
DBA Doing business as Wallace Place In The Pines
Authorized official Wallace, Barbara Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2019
Last updated Jun 4th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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