Provider Demographics
NPI:1568665123
Name:THE WOODLANDS RELIGIOUS COMMUNITY, INC
Entity Type:Organization
Organization Name:THE WOODLANDS RELIGIOUS COMMUNITY, INC
Other - Org Name:DBA INTERFAITH, DBA THE EMPLOYEE ASSISTANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CENTER DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-363-1633
Mailing Address - Street 1:2204 TIMBERLOCH PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1164
Mailing Address - Country:US
Mailing Address - Phone:281-363-1633
Mailing Address - Fax:281-363-3898
Practice Address - Street 1:2204 TIMBERLOCH PL
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1164
Practice Address - Country:US
Practice Address - Phone:281-363-1633
Practice Address - Fax:281-363-3898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty