Provider Demographics
NPI:1275712101
Name:THE WARREN CORPORATION
Entity Type:Organization
Organization Name:THE WARREN CORPORATION
Other - Org Name:NEW COVENANT COUNSELING AND FAMILY SERVICE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GODDIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-541-9777
Mailing Address - Street 1:1309 COLITA AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-2211
Mailing Address - Country:US
Mailing Address - Phone:713-451-9777
Mailing Address - Fax:713-451-9778
Practice Address - Street 1:1309 COLITA AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-2211
Practice Address - Country:US
Practice Address - Phone:713-541-9777
Practice Address - Fax:713-541-9778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-27
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty