Provider Demographics
NPI:1689799470
Name:THE NEUTRAL ZONE
Entity Type:Organization
Organization Name:THE NEUTRAL ZONE
Other - Org Name:THE NEUTRAL ZONE COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-887-9663
Mailing Address - Street 1:114 S OLD GUN BERRAL LANE
Mailing Address - Street 2:SUITE 1 THE NEUTRAL ZONE
Mailing Address - City:GUN BERRAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75147
Mailing Address - Country:US
Mailing Address - Phone:903-887-9663
Mailing Address - Fax:903-887-9663
Practice Address - Street 1:114 S. OLD GUN BERRAL LANE
Practice Address - Street 2:SUITE 1 THE NEUTRAL ZONE
Practice Address - City:GUN BERRAL CITY
Practice Address - State:TX
Practice Address - Zip Code:75147
Practice Address - Country:US
Practice Address - Phone:903-887-9663
Practice Address - Fax:903-887-9663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty