Provider Demographics
NPI:1912020645
Name:HEALTHY FAMILIES SOCIAL SERVICES
Entity Type:Organization
Organization Name:HEALTHY FAMILIES SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHAWNE
Authorized Official - Middle Name:STACIE
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC, LBSW
Authorized Official - Phone:830-822-7375
Mailing Address - Street 1:2556 HUNT ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2998
Mailing Address - Country:US
Mailing Address - Phone:210-685-1529
Mailing Address - Fax:866-556-8569
Practice Address - Street 1:2556 HUNT ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2998
Practice Address - Country:US
Practice Address - Phone:210-685-1529
Practice Address - Fax:866-556-8569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39042104100000X
TX61423251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179136001Medicaid
TX179138602Medicaid