ALICIA MEDINA
NPI 1285994285
Counselor - Mental Health in Tyler, TX
Active since May 23, 2012
About Alicia Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA MEDINA (NPI 1285994285) is an individual mental health provider in Tyler, Texas, licensed in Texas (66883) and active in the NPI registry since May 2012.
NPPES Registry Identity
NPI1285994285
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameALICIA MEDINA
Location Address2323 W FRONT STTyler, TX 75702-7704
Mailing Address2323 W Front StTyler, TX 75702-7704 · (903) 597-1351 · Fax (903) 535-7386
Phone(903) 597-1351
Fax(903) 535-7386
Sole ProprietorNo
Enumeration DateMay 23, 2012
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1285994285 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 66883
2323 W FRONT ST, Tyler, TX 75702
Other Identifiers 1
Other66883TX · Lpc
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
2323 W FRONT ST
TYLER, TX 75702
TYLER, TX 75702
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
2323 W FRONT ST
TYLER, TX 75702
TYLER, TX 75702
Substance Abuse Rehabilitation Facility
2323 W FRONT ST
TYLER, TX 75702
TYLER, TX 75702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285994285, enumerated as an "individual" on May 23, 2012.
The provider is located at 2323 W FRONT ST TYLER, TX 75702 and the phone number is (903) 597-1351.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.