Provider Demographics
NPI:1134328586
Name:AMARILLO MARRIAGE & FAMILY INSTITUTE
Entity Type:Organization
Organization Name:AMARILLO MARRIAGE & FAMILY INSTITUTE
Other - Org Name:NEW HOPE COUNSELING & RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBERT
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:806-355-4673
Mailing Address - Street 1:PO BOX 52131
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-2131
Mailing Address - Country:US
Mailing Address - Phone:806-355-4673
Mailing Address - Fax:
Practice Address - Street 1:6900 I-40 W
Practice Address - Street 2:295
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2507
Practice Address - Country:US
Practice Address - Phone:806-355-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14311101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1841309689OtherPERSONAL NPI