Provider Demographics
NPI:1255522744
Name:TEXAS GIRLS AND BOYS RANCH
Entity type:Organization
Organization Name:TEXAS GIRLS AND BOYS RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIGLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-747-3187
Mailing Address - Street 1:PO BOX 5665
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5665
Mailing Address - Country:US
Mailing Address - Phone:806-747-3187
Mailing Address - Fax:
Practice Address - Street 1:4810 N COUNTY ROAD 2800
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79403-7297
Practice Address - Country:US
Practice Address - Phone:806-747-3187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty