MEDICARE: FAMILY CIRCLE BEHAVIORAL WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1699625426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CIRCLE BEHAVIORAL WELLNESS CENTER

Provider Business Mailing Address
First Line	:	3506 CARMINE GLN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-7664
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14217 S POST OAK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-5249
Country	:	US
Telephone Number	:	713-330-5890
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	EDDIE MARIE JOHNSON
Credential	:
Telephone Number	:	713-330-5890

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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