Provider Demographics
NPI:1801338496
Name:FAMILY CHRISTIAN COUNSELING CENTER INC
Entity type:Organization
Organization Name:FAMILY CHRISTIAN COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-890-6234
Mailing Address - Street 1:9950 CYPRESSWOOD DR
Mailing Address - Street 2:#260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3414
Mailing Address - Country:US
Mailing Address - Phone:281-890-6234
Mailing Address - Fax:
Practice Address - Street 1:9950 CYPRESSWOOD DR
Practice Address - Street 2:#260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3414
Practice Address - Country:US
Practice Address - Phone:281-890-6234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY CHRISTIAN COUNSELING CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72301101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty