Provider Demographics
NPI:1750746574
Name:FAMILY COUNSELING AND RECOVERY
Entity type:Organization
Organization Name:FAMILY COUNSELING AND RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:WOHL
Authorized Official - Suffix:
Authorized Official - Credentials:LCDC
Authorized Official - Phone:361-664-5782
Mailing Address - Street 1:73 N REYNOLDS ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4933
Mailing Address - Country:US
Mailing Address - Phone:361-664-5782
Mailing Address - Fax:
Practice Address - Street 1:73 N REYNOLDS ST
Practice Address - Street 2:SUITE 5
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4933
Practice Address - Country:US
Practice Address - Phone:361-664-5782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0802323165OtherFILE NUMBER
TX32058706535OtherTAXPAYER NUMBER
TX=========OtherEIN