Provider Demographics
NPI:1891820676
Name:FAMILY ENRICHMENT CLINIC LTD CO
Entity Type:Organization
Organization Name:FAMILY ENRICHMENT CLINIC LTD CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:THUY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:713-780-2833
Mailing Address - Street 1:7211 REGENCY SQUARE BLVD
Mailing Address - Street 2:SUITE #230
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3138
Mailing Address - Country:US
Mailing Address - Phone:713-780-2833
Mailing Address - Fax:713-780-2838
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:SUITE #230
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:713-780-2833
Practice Address - Fax:713-780-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16395101YP2500X
TX4947106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028578501Medicaid
TX028510801Medicaid