Provider Demographics
NPI:1467594457
Name:N.F. MCINTYRE COUNSELING CO.
Entity Type:Organization
Organization Name:N.F. MCINTYRE COUNSELING CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANETTE
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCINYRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-331-4300
Mailing Address - Street 1:PO BOX 3893
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79116-3893
Mailing Address - Country:US
Mailing Address - Phone:806-331-4300
Mailing Address - Fax:806-467-9332
Practice Address - Street 1:3012 S.W. 26TH AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3177
Practice Address - Country:US
Practice Address - Phone:806-331-4300
Practice Address - Fax:806-467-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15942261QM0801X
NM4265261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0960544-02Medicaid
TX3991LCOtherPARTICIPATING PROVIDER