Provider Demographics
NPI:1538871918
Name:OUARICON BEHAVIORAL HEALTH, PLLC
Entity type:Organization
Organization Name:OUARICON BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TWOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:434-260-1582
Mailing Address - Street 1:2515 N STANTON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3114
Mailing Address - Country:US
Mailing Address - Phone:434-260-1582
Mailing Address - Fax:401-561-2577
Practice Address - Street 1:207 FIR STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759
Practice Address - Country:US
Practice Address - Phone:434-260-1582
Practice Address - Fax:401-561-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty