Provider Demographics
NPI:1871358614
Name:DEEP EAST TEXAS COUNCIL OF GOVERNMENTS
Entity type:Organization
Organization Name:DEEP EAST TEXAS COUNCIL OF GOVERNMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-634-2247
Mailing Address - Street 1:1405 KURTH DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-1929
Mailing Address - Country:US
Mailing Address - Phone:936-634-2247
Mailing Address - Fax:936-639-2702
Practice Address - Street 1:1405 KURTH DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-1929
Practice Address - Country:US
Practice Address - Phone:936-634-2247
Practice Address - Fax:936-639-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management