Provider Demographics
NPI:1134208622
Name:FAMILY CHRISTIAN COUNSELING CENTER INC.
Entity type:Organization
Organization Name:FAMILY CHRISTIAN COUNSELING CENTER INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, NCC
Authorized Official - Phone:281-890-6234
Mailing Address - Street 1:9950 CYPRESSWOOD DR.
Mailing Address - Street 2:SUITE 260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3481
Mailing Address - Country:US
Mailing Address - Phone:281-890-6234
Mailing Address - Fax:281-890-6234
Practice Address - Street 1:9950 CYPRESSWOOD DR.
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3481
Practice Address - Country:US
Practice Address - Phone:281-890-6234
Practice Address - Fax:281-890-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14596101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty