Provider Demographics
NPI:1144572512
Name:PARENT SERVICES CENTER, INC.
Entity Type:Organization
Organization Name:PARENT SERVICES CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTISM NETWORK COORDINATOR/CASEWORK
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENFROE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-595-2235
Mailing Address - Street 1:4411 OLD BULLARD RD STE 602
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1215
Mailing Address - Country:US
Mailing Address - Phone:903-595-2235
Mailing Address - Fax:903-595-6918
Practice Address - Street 1:4411 OLD BULLARD RD STE 602
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1215
Practice Address - Country:US
Practice Address - Phone:903-595-2235
Practice Address - Fax:903-595-6918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248044174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty