Provider Demographics
NPI:1134829310
Name:ESSENCE BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:ESSENCE BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:OZIOMA
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-721-3151
Mailing Address - Street 1:308 S RICE ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-2156
Mailing Address - Country:US
Mailing Address - Phone:254-721-3151
Mailing Address - Fax:
Practice Address - Street 1:2919 MARKET LOOP STE A
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1856
Practice Address - Country:US
Practice Address - Phone:254-550-6051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty