1982882858 NPI number — FAMILIES WHO LISTEN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982882858 NPI number — FAMILIES WHO LISTEN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILIES WHO LISTEN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982882858
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6001 W PARMER LN
Provider Second Line Business Mailing Address:
SUITE 370, UNIT 146
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78727-3901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-636-8227
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6027 ROXBURY LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78739-1646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-636-8227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GENSLER
Authorized Official First Name:
AMY
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
512-636-8227

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  51475 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)