1295175594 NPI number — WARNER FAMILY COUNSELING

Table of content: (NPI 1295175594)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295175594 NPI number — WARNER FAMILY COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WARNER FAMILY COUNSELING
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:
1295175594
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 270815
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLOWER MOUND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75027-0815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-691-4999
Provider Business Mailing Address Fax Number:
972-691-4994

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4325 WINDSOR CENTRE TRL STE 500
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLOWER MOUND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75028-1869
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-691-4999
Provider Business Practice Location Address Fax Number:
972-691-4994
Provider Enumeration Date:
07/01/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WARNER
Authorized Official First Name:
KAYLENE
Authorized Official Middle Name:
DENISE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
972-691-4999

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  37670 , 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)