Healthcare Provider Details

I. General information

NPI: 1164554283
Provider Name (Legal Business Name): SOUTH TEXAS CHILDREN AND FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6403 MEADOW CROSSING CT
KATY TX
77449-7609
US

IV. Provider business mailing address

6403 MEADOW CROSSING CT
KATY TX
77449-7609
US

V. Phone/Fax

Practice location:
  • Phone: 281-859-2917
  • Fax:
Mailing address:
  • Phone: 281-859-2917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA WALKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 281-859-2917