Provider Demographics
NPI:1336384510
Name:INCLUDING KIDS, INC.
Entity Type:Organization
Organization Name:INCLUDING KIDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-852-0501
Mailing Address - Street 1:18401 TIMBER FOREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346
Mailing Address - Country:US
Mailing Address - Phone:281-852-0501
Mailing Address - Fax:281-852-0502
Practice Address - Street 1:18401 TIMBER FOREST DRIVE
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346
Practice Address - Country:US
Practice Address - Phone:281-852-0501
Practice Address - Fax:281-852-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1-02-0763OtherBCBA