Family Christian Care Service | |
623 Main St Suite 3 Liberty TX 77575-4849 | |
(936) 334-1224 | |
(936) 334-1224 |
Full Name | Family Christian Care Service |
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Speciality | Community/behavioral Health |
Location | 623 Main St, Liberty, Texas |
Authorized Official Name and Position | William F Herrin (OWNER) |
Authorized Official Contact | 9363341224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Christian Care Service 623 Main St Suite 3 Liberty TX 77575-4849 Ph: (936) 334-1224 | Family Christian Care Service 623 Main St Suite 3 Liberty TX 77575-4849 Ph: (936) 334-1224 |
NPI Number | 1063732733 |
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Provider Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063732733 | NPI | - | NPPES |
179137801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 20158 (Texas) | Primary |
Lightway Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Grand Ave, Liberty, TX 77575 Phone: 281-592-9222 Fax: 281-592-5041 |