Provider Demographics
NPI:1760693915
Name:FAMILY & YOUTH INSTITUTE LLC
Entity Type:Organization
Organization Name:FAMILY & YOUTH INSTITUTE LLC
Other - Org Name:BETTERSELF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-ASSOCIATE, LCDC
Authorized Official - Phone:832-748-7999
Mailing Address - Street 1:4010 DONALBAIN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7441
Mailing Address - Country:US
Mailing Address - Phone:281-748-0233
Mailing Address - Fax:832-481-6495
Practice Address - Street 1:26009 BUDDE RD STE A300
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2065
Practice Address - Country:US
Practice Address - Phone:281-748-0233
Practice Address - Fax:832-481-6495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X, 101YS0200X
TX18604101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179480201Medicaid