| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REGINA MICHELLE TATE | 1497197008 | 2023-11-10 |
Regina Michelle Tate is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497197008. Registration indicates Regina Michelle Tate is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Regina Michelle Tate LPC |
| Practice Office Address | 4749 ODOM RD BEAUMONT, TX US |
| Practice Office Telephone | 4092002220 |
| Practice Office Fax | 4094403344 |
| Mailing Address | 105 CANYON LAKE CIR LUMBERTON, TX 776573701 US |
| Business Telephone | 4092002220 |
| Business Fax | 4094403344 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4749 Odom Rd | Beaumont, TX 777067080 | 4092002220 / 4094403344 |
| 156 S Main St Suite 120 | Lumberton, TX 776577881 | 4092002220 / 4094403344 |
| 105 Canyon Lake Cir | Lumberton, TX 776573701 | 4092002220 / 4094403344 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 68856
TX |
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 68856
TX |
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 68856
TX |
| 322544301 | MEDICAID | TX |