Provider Demographics
NPI:1477167252
Name:FAMILY COMMUNITY CASE MANAGEMENT
Entity Type:Organization
Organization Name:FAMILY COMMUNITY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O./DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LANG
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC-I
Authorized Official - Phone:682-777-5299
Mailing Address - Street 1:221 BEDFORD RD STE 307
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6251
Mailing Address - Country:US
Mailing Address - Phone:682-777-5299
Mailing Address - Fax:855-282-5789
Practice Address - Street 1:221 BEDFORD RD STE 307
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6251
Practice Address - Country:US
Practice Address - Phone:682-777-5299
Practice Address - Fax:855-282-5709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No177F00000XOther Service ProvidersLodging
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care AgencyGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care