Provider Demographics
NPI:1508052770
Name:SPECTRUM COUNSELING & HUMAN DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:SPECTRUM COUNSELING & HUMAN DEVELOPMENT CENTER
Other - Org Name:JOAN H WHITT, MA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:WHITT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:432-570-0096
Mailing Address - Street 1:3000 N GARFIELD ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-6400
Mailing Address - Country:US
Mailing Address - Phone:432-570-0096
Mailing Address - Fax:432-682-1442
Practice Address - Street 1:3000 N GARFIELD ST
Practice Address - Street 2:SUITE 215
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-6400
Practice Address - Country:US
Practice Address - Phone:432-570-0096
Practice Address - Fax:432-682-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty