Provider Demographics
NPI:1881817658
Name:EOM CORPORATION
Entity Type:Organization
Organization Name:EOM CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT, LCDC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:432-520-0737
Mailing Address - Street 1:PO BOX 51638
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79710-1638
Mailing Address - Country:US
Mailing Address - Phone:432-520-0737
Mailing Address - Fax:432-685-0737
Practice Address - Street 1:4410 N MIDKIFF RD
Practice Address - Street 2:SUITE D-211B
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79705-4246
Practice Address - Country:US
Practice Address - Phone:432-520-0737
Practice Address - Fax:432-699-2392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX193106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty