| Family Advocacy Center | |
|
1180 Old Redwater Rd Texarkana TX 75501-2253 | |
| (903) 276-9242 | |
| Not Available |
| Full Name | Family Advocacy Center |
|---|---|
| Speciality | Counselor |
| Location | 1180 Old Redwater Rd, Texarkana, Texas |
| Authorized Official Name and Position | Sandra Kelley Shoulders (GENERAL PARTNER) |
| Authorized Official Contact | 9032769242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Advocacy Center 1180 Old Redwater Road Texarkana TX 75501-2253 Ph: (903) 276-9242 | Family Advocacy Center 1180 Old Redwater Rd Texarkana TX 75501-2253 Ph: (903) 276-9242 |
| NPI Number | 1881998243 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881998243 | NPI | - | NPPES |
| 4844 | Other | TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES |
| 64428 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 64428 (Texas) | Primary |
| 251S00000X | Community/behavioral Health | 4844 (Texas) | Secondary |
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