Provider Demographics
NPI:1629393301
Name:HELPING OPEN PEOPLE'S EYES INC.
Entity type:Organization
Organization Name:HELPING OPEN PEOPLE'S EYES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:MARLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:817-558-8807
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-0162
Mailing Address - Country:US
Mailing Address - Phone:817-558-8807
Mailing Address - Fax:817-558-6919
Practice Address - Street 1:619 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-3843
Practice Address - Country:US
Practice Address - Phone:817-558-8807
Practice Address - Fax:807-558-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705-3034101YA0400X
TX705-Y101YA0400X
TX705-AH101YA0400X
TX705-AI 3210101YA0400X
TX705-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty