FAMILY ADVOCACY CENTER (NPI# 1881998243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881998243 |
| Entity Type | Organization |
| Organization Name | FAMILY ADVOCACY CENTER |
| Practice Address |
1180 Old Redwater Rd Texarkana TX 75501-2253 |
| Mailing Address |
1180 Old Redwater Road Texarkana TX 75501-2253 |
| Practice Telephone | 9032769242 |
| Mailing Telephone | 9032769242 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | MRS. SANDRA KELLEY SHOULDERS (GENERAL PARTNER) |
| Authorized Official Telephone | 9032769242 |
| Authorized Official Credential | L.P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 4844 | TX | Agencies |
| Y | 101Y00000X | Counselor | 64428 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS | 64428 | 01 |
| TX | TEXAS DEPARTMENT OF STATE HEALTH SERVICES | 4844 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386024958 | Family Advocacy Center | Community/Behavioral Health | 50 Maple St, Family Advocacy Center, Springfield, MA 01103-1979 | 2015-06-08 |
| Street Address |
1180 OLD REDWATER RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-2253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811130115 | Sandra Shoulders | Counselor | 1180 Old Redwater Rd, Texarkana, TX 75501-2253 | 2009-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278384 | Tre Jones | Counselor | 1406 N Fm 2148, Texarkana, TX 75501-0351 | 2017-11-15 |
| 1841641800 | Brittany M Robinson | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2016-06-30 |
| 1649633652 | James Michael Hargrave Sr. | Counselor | 3608 Melody Ln, Texarkana, TX 75503-0884 | 2016-03-29 |
| 1427453992 | Brian Adams | Counselor | 4016 Buchanan Rd, Texarkana, TX 75501-7584 | 2014-10-27 |
| 1376959122 | Maria Sanson | Counselor | 4613 Parkway Dr Ste 6, Texarkana, AR 71854-1142 | 2014-07-01 |
| 1194146100 | William James Eldridge Jr. | Counselor | 6610 Palisades Dr, Texarkana, TX 75503-4972 | 2013-12-17 |
| 1164867784 | Lisa Cunningham Love | Counselor | 4093 Summerhill Sq, Texarkana, TX 75503-2768 | 2013-05-09 |
| 1306177969 | Jenna Maedean Burns | Counselor | 25 Treebark Dr, Texarkana, AR 71854-9743 | 2010-01-21 |
| 1811130115 | Sandra Shoulders | Counselor | 1180 Old Redwater Rd, Texarkana, TX 75501-2253 | 2009-04-16 |
| 1992943286 | Betty J Feir Phd Lpc Group | Counselor | 5501 Medical Parkway Dr, Texarkana, TX 75503-4624 | 2009-01-26 |
| Find all providers in TEXARKANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.