Provider Demographics
NPI:1295075380
Name:ALLIANCE CHILD & FAMILY SOLUTIONS
Entity type:Organization
Organization Name:ALLIANCE CHILD & FAMILY SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:817-851-2042
Mailing Address - Street 1:PO BOX 821277
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-1277
Mailing Address - Country:US
Mailing Address - Phone:817-851-2042
Mailing Address - Fax:817-405-3364
Practice Address - Street 1:1100 HEMPHILL ST
Practice Address - Street 2:ONE SAFE PLACE (MAIL BOX #24)
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4666
Practice Address - Country:US
Practice Address - Phone:817-851-2042
Practice Address - Fax:817-405-3364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No136A00000XDietary & Nutritional Service ProvidersDietetic Technician, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3275943Medicaid
TX0033YTOtherBCBS
TX285014Medicare PIN