Provider Demographics
NPI:1891116034
Name:NORTHSIDE FAMILY COUNSELING CENTER
Entity Type:Organization
Organization Name:NORTHSIDE FAMILY COUNSELING CENTER
Other - Org Name:NFCC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBIASE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-789-7683
Mailing Address - Street 1:18756 STONE OAK PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4790
Mailing Address - Country:US
Mailing Address - Phone:210-789-7683
Mailing Address - Fax:210-998-5501
Practice Address - Street 1:18756 STONE OAK PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4790
Practice Address - Country:US
Practice Address - Phone:210-789-7683
Practice Address - Fax:210-998-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64997101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty