Provider Demographics
NPI:1619410933
Name:MORNINGSTAR CHILDREN AND FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:MORNINGSTAR CHILDREN AND FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-450-0351
Mailing Address - Street 1:3131 MCKINNEY AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2456
Mailing Address - Country:US
Mailing Address - Phone:202-450-0351
Mailing Address - Fax:
Practice Address - Street 1:3131 MCKINNEY AVE STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-2456
Practice Address - Country:US
Practice Address - Phone:202-450-0351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health