Organization Name: | FAMILY COUNSELING CENTER |
NPI Number: | 1710166293 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER RON DOSS (EXECUTIVE DIRECTOR) |
Mailing Address: | 3617 W. Pioneer Parkway Pantego |
State: | TX US |
Postal Code: | 760134504 |
Phone Number: | 8172753617 |
Fax Number: | 8172753620 |
NPI Enumeration Date: | 10/31/2007 |
NPI Last Update Date: | 01/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |