Provider Demographics
NPI:1801091848
Name:CATHOLIC CHARITIES OF SOUTHEAST TEXAS
Entity type:Organization
Organization Name:CATHOLIC CHARITIES OF SOUTHEAST TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-835-7118
Mailing Address - Street 1:PO BOX 829
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77704-0829
Mailing Address - Country:US
Mailing Address - Phone:409-835-7118
Mailing Address - Fax:409-832-0145
Practice Address - Street 1:2780 EASTEX FREEWAY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703
Practice Address - Country:US
Practice Address - Phone:409-835-7118
Practice Address - Fax:409-832-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty