Provider Demographics
NPI:1033359013
Name:FAMILIES TOGETHER OF TEXAS
Entity Type:Organization
Organization Name:FAMILIES TOGETHER OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINCOYA
Authorized Official - Middle Name:DANESE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LPS
Authorized Official - Phone:817-690-3421
Mailing Address - Street 1:1414 W RANDOL MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3159
Mailing Address - Country:US
Mailing Address - Phone:817-690-3421
Mailing Address - Fax:817-225-9709
Practice Address - Street 1:1414 W RANDOL MILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3159
Practice Address - Country:US
Practice Address - Phone:817-690-3421
Practice Address - Fax:817-225-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1700055118Medicaid