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Active NPI 1447700166 Organization (Entity Type 2) Subpart Facility

P.e.e.r. Pals, Llc

Community/Behavioral Health • Freeport, TX

Parent Organization: P.e.e.r. Pals, Llc

About P.e.e.r. Pals, Llc NPI 1447700166 Summary

P.E.E.R. Pals, Llc is a verified healthcare organization specializing in Community/Behavioral Health operating in Freeport, TX. Located at 200 W 2ND ST, 228-A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1447700166.

P.E.E.R. Pals, Llc operates as a subpart facility of P.E.E.R. Pals, Llc. Administrative operations and authorized compliance are overseen by Travett Johnson (Owner).

Facility Location & Contact Primary Location

Facility Address

200 W 2nd St
228-A

Freeport, TX 775415773

Telephone 7137243603

Authorized Official Information

Authorized Contact Name

MRS. Travett Johnson , LPC

Title / Role

Owner

Official Telephone

7137243603

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active October 05, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2016

Registered at 200 W 2ND ST, 228-A, FREEPORT, TX 775415773 (Tel: 7137243603)

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Updated Business Mailing Address October 05, 2016

Registered at 200 W 2ND ST, 228-A, FREEPORT, TX 775415773 (Tel: 7137243603)

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Organization / Clinic Name Updated October 05, 2016

Operating as P.E.E.R. PALS, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2016

Community/Behavioral Health (License #68632 in TX)

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Initial NPI Registration & Enumeration October 05, 2016

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1447700166
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 05, 2016
Last Update: October 05, 2016

Mailing Address

200 W 2nd St, 228-A

Freeport, TX 775415773

Phone: 7137243603

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.