Provider Demographics
NPI:1174861595
Name:ADVOCACY CENTER FOR CRIME VICTIMS AND CHILDREN
Entity Type:Organization
Organization Name:ADVOCACY CENTER FOR CRIME VICTIMS AND CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:254-752-9330
Mailing Address - Street 1:2323 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76701-1040
Mailing Address - Country:US
Mailing Address - Phone:254-752-9330
Mailing Address - Fax:254-752-9655
Practice Address - Street 1:2323 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76701-1040
Practice Address - Country:US
Practice Address - Phone:254-752-9330
Practice Address - Fax:254-752-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty