Provider Demographics
NPI:1598040032
Name:PARRIS FOUNDATION
Entity Type:Organization
Organization Name:PARRIS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-647-8234
Mailing Address - Street 1:PO BOX 2912
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-2912
Mailing Address - Country:US
Mailing Address - Phone:832-647-8234
Mailing Address - Fax:
Practice Address - Street 1:4410 NAVIGATION BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-1036
Practice Address - Country:US
Practice Address - Phone:832-647-8234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-16
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20032101YP2500X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No251V00000XAgenciesVoluntary or CharitableGroup - Single Specialty