Provider Demographics
NPI:1467529578
Name:DENTON CHILD AND FAMILY CLINIC INC
Entity Type:Organization
Organization Name:DENTON CHILD AND FAMILY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPP DOSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LMFT
Authorized Official - Phone:940-566-4949
Mailing Address - Street 1:529 MALONE STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-2778
Mailing Address - Country:US
Mailing Address - Phone:940-566-4949
Mailing Address - Fax:940-383-3106
Practice Address - Street 1:529 MALONE STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-2778
Practice Address - Country:US
Practice Address - Phone:940-566-4949
Practice Address - Fax:940-383-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)