Provider Demographics
NPI:1609521194
Name:STRATEGIC FAMILY SERVICES
Entity Type:Organization
Organization Name:STRATEGIC FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-901-7823
Mailing Address - Street 1:144 CASTLERIDGE DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5525
Mailing Address - Country:US
Mailing Address - Phone:703-772-9217
Mailing Address - Fax:
Practice Address - Street 1:144 CASTLERIDGE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5525
Practice Address - Country:US
Practice Address - Phone:469-824-7939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health