Provider Demographics
NPI:1497769202
Name:FAMILY SERVICES OF GREATER HOUSTON
Entity Type:Organization
Organization Name:FAMILY SERVICES OF GREATER HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WODOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-868-4466
Mailing Address - Street 1:4625 LILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5544
Mailing Address - Country:US
Mailing Address - Phone:713-861-4849
Mailing Address - Fax:713-861-4021
Practice Address - Street 1:1600 LAKE FRONT CIR
Practice Address - Street 2:SUITE 218
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3613
Practice Address - Country:US
Practice Address - Phone:281-292-4155
Practice Address - Fax:281-364-1827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15473101YM0800X
TX4880106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty