Waco Center For Youth is a Counselor Clinic in Waco, Texas. It is located at 3501 North 19th Street, Waco, TX and its contact number is 245-756-2171. The authorized person for Waco Center For Youth is Mrs. Jana Johnson
who is Accountant Iii of the clinic and his/her contact number is 512-206-5284. Waco Center For Youth Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Waco Center For Youth Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Waco Center For Youth
Specialization:
Clinical Neuropsychologist
Clinic Address:
3501 North 19th Street, Waco, Texas, 76708-2007
Phone:
245-756-2171
Fax:
254-745-5367
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Jana Johnson
Position:
Accountant Iii
Contact Number:
512-206-5284
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Waco Center For Youth clinic are as mentioned below.
NPI Number:
1548273873
NPI Enumeration Date:
15 Aug, 2006
NPI Last Update On:
25 Aug, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waco Center For Youth are as mentioned below.
Specialization
License Number
State
Status
Clinical Neuropsychologist
Texas
Primary
Clinical
Texas
Secondary
Pharmacist
Texas
Secondary
Adolescent Medicine
Texas
Secondary
Pediatrics
Texas
Secondary
Forensic Psychiatry
Texas
Secondary
Neurology
Texas
Secondary
Psychiatry
Texas
Secondary
Child & Adolescent Psychiatry
Texas
Secondary
General Practice
Texas
Secondary
Physician Assistant
Texas
Secondary
Nurse Practitioner
Texas
Secondary
Clinical Nurse Specialist
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1099665-02
Medicaid
Texas
1404444-16
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Waco Center For Youth Po Box 149347, Austin, Texas
Zip:
78714-9347
Phone Number:
512-458-7111
Fax Number:
512-458-7588
Patients can reach Waco Center For Youth at 3501 North 19th Street, Waco, Texas or can call to book an appointment on 245-756-2171. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.