Provider Demographics
NPI:1821294646
Name:TODAY'S FAMILY THERAPEUTIC SERVICES, INC
Entity Type:Organization
Organization Name:TODAY'S FAMILY THERAPEUTIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:MICHEAL
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:703-915-9526
Mailing Address - Street 1:PO BOX Z
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22194-0415
Mailing Address - Country:US
Mailing Address - Phone:703-915-9526
Mailing Address - Fax:800-556-0158
Practice Address - Street 1:13803 SANDOVER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-3622
Practice Address - Country:US
Practice Address - Phone:703-915-9526
Practice Address - Fax:800-556-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1652302R00000X
TX63213302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization