Provider Demographics
NPI:1235995150
Name:FAMILY EVALUATION ASSOC., INC.
Entity Type:Organization
Organization Name:FAMILY EVALUATION ASSOC., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:RAYE
Authorized Official - Last Name:ANDERSEN KING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:830-914-5011
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:TX
Mailing Address - Zip Code:78124-0686
Mailing Address - Country:US
Mailing Address - Phone:830-914-5011
Mailing Address - Fax:833-784-1517
Practice Address - Street 1:388 STALLION LN
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:TX
Practice Address - Zip Code:78124-3014
Practice Address - Country:US
Practice Address - Phone:183-091-4501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK20762OtherLCSW