Provider Demographics
NPI:1881499580
Name:THERAPY FOR FAMILIES
Entity type:Organization
Organization Name:THERAPY FOR FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT INTERN
Authorized Official - Prefix:
Authorized Official - First Name:BROOKELYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-230-9858
Mailing Address - Street 1:200 W ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-4643
Mailing Address - Country:US
Mailing Address - Phone:281-819-0308
Mailing Address - Fax:
Practice Address - Street 1:200 W ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-4643
Practice Address - Country:US
Practice Address - Phone:281-819-0308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health