Provider Demographics
NPI:1629144761
Name:FAMILY SERVICE CENTER AT HOUSTON AND HARRIS COUNTY
Entity Type:Organization
Organization Name:FAMILY SERVICE CENTER AT HOUSTON AND HARRIS COUNTY
Other - Org Name:FAMILY SERVICES OF GREATER HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF INSURANCE AND BILLING
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:WORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-861-4849
Mailing Address - Street 1:PO BOX 70068
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77270-0068
Mailing Address - Country:US
Mailing Address - Phone:713-861-4849
Mailing Address - Fax:713-867-7742
Practice Address - Street 1:4950 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-7440
Practice Address - Country:US
Practice Address - Phone:713-861-4849
Practice Address - Fax:713-867-7742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085429102Medicaid