MEDICARE: FAMILIES FOREMOST MENTAL HEALTH & WELLNESS CENTER, LLC

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	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356992481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILIES FOREMOST MENTAL HEALTH & WELLNESS CENTER, LLC

Provider Business Mailing Address
First Line	:	3207 W ALBERTA RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9635
Country	:	US
Telephone Number	:	956-616-9651
Fax Number	:	956-476-5607

Provider Business Practice Location Address
First Line	:	3207 W ALBERTA RD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-9635
Country	:	US
Telephone Number	:	956-616-9651
Fax Number	:	956-476-5607

Authorized Official
Title or Position	:	OWNER
Name	:	NANCY LEE CAVAZOS
Credential	:
Telephone Number	:	956-616-9651

Provider Enumeration Date	:	09/20/2019
Last Update Date	:	05/05/2026

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