Provider Demographics
NPI:1306218300
Name:CENTER FOR COUPLES AND FAMILIES
Entity Type:Organization
Organization Name:CENTER FOR COUPLES AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:435-319-0273
Mailing Address - Street 1:549 N EGRET BAY BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-3236
Mailing Address - Country:US
Mailing Address - Phone:281-317-7326
Mailing Address - Fax:
Practice Address - Street 1:549 N EGRET BAY BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3236
Practice Address - Country:US
Practice Address - Phone:281-317-7326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health