Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Acres Baptist Church

Organization Counselor · NPI 1376228619

Green Acres Baptist Church provides Counselor services in Tyler, Texas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5755 Eagles Nest Blvd Ste 4
Tyler, TX 75703-6236
Phone: (903) 533-1817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1376228619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaime Cornelius — Clinic Director · (903) 533-1817
NPI enumeratedJune 15, 2023
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023
Mailing address1607 Troup Hwy, Tyler, TX 75701-5799

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