Provider Demographics
NPI:1922507417
Name:FAMILY ENDEAVORS, INC.
Entity Type:Organization
Organization Name:FAMILY ENDEAVORS, INC.
Other - Org Name:ENDEAVORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:210-431-6466
Mailing Address - Street 1:1103 W STAN SCHLUETER LOOP STE 100
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-6691
Mailing Address - Country:US
Mailing Address - Phone:254-213-7847
Mailing Address - Fax:254-312-2002
Practice Address - Street 1:1103 WEST STAN SCHLUETER LOOP
Practice Address - Street 2:BUILDING A SUITE 100
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549
Practice Address - Country:US
Practice Address - Phone:210-399-4838
Practice Address - Fax:210-877-9284
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY ENDEAVORS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-09
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health