Provider Demographics
NPI:1003019324
Name:BARBARA ROLAND DBA THE FAMILY FORUM
Entity type:Organization
Organization Name:BARBARA ROLAND DBA THE FAMILY FORUM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:903-891-1616
Mailing Address - Street 1:1906 W TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-3155
Mailing Address - Country:US
Mailing Address - Phone:903-891-1616
Mailing Address - Fax:903-891-1612
Practice Address - Street 1:1906 W TAYLOR ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3155
Practice Address - Country:US
Practice Address - Phone:903-891-1616
Practice Address - Fax:903-891-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty