Provider Demographics
NPI:1235644709
Name:SYMETRIA HEALTH OF TEXAS, LLC
Entity Type:Organization
Organization Name:SYMETRIA HEALTH OF TEXAS, LLC
Other - Org Name:SYMETRIA RECOVERY AT COLLEGE STATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-202-0926
Mailing Address - Street 1:1240 E DIEHL RD STE 550
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8206
Mailing Address - Country:US
Mailing Address - Phone:331-333-4100
Mailing Address - Fax:432-522-5435
Practice Address - Street 1:1651 ROCK PRAIRIE RD STE 101
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-8652
Practice Address - Country:US
Practice Address - Phone:979-599-9580
Practice Address - Fax:979-485-0674
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOFT LANDING INTERVENTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-06
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000076251S00000X
261QM1300X, 261QM2800X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone