Provider Demographics
NPI:1700252244
Name:ANCHOR WAY FAMILY SERVICES
Entity Type:Organization
Organization Name:ANCHOR WAY FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELITA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-240-8181
Mailing Address - Street 1:10805 W CLEBURNE RD
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-9429
Mailing Address - Country:US
Mailing Address - Phone:682-240-8181
Mailing Address - Fax:817-297-1703
Practice Address - Street 1:10805 W CLEBURNE RD
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-9429
Practice Address - Country:US
Practice Address - Phone:682-240-8181
Practice Address - Fax:817-297-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QM0855X, 261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)