Provider Demographics
NPI:1649574328
Name:ALLIANCE COUNSELING & FAMILY THERAPY, PLLC
Entity Type:Organization
Organization Name:ALLIANCE COUNSELING & FAMILY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PHD(C), LPC
Authorized Official - Phone:940-300-8241
Mailing Address - Street 1:517 FM 156
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-4601
Mailing Address - Country:US
Mailing Address - Phone:940-300-8241
Mailing Address - Fax:682-224-8539
Practice Address - Street 1:517 FM 156
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-4601
Practice Address - Country:US
Practice Address - Phone:940-300-8241
Practice Address - Fax:682-224-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty