# FAMILY TIES THAT BIND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184364390
- **Authorized official:** MRS. SHIRLEY DANIELS LPC, LMHC (MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (360) 481-9594

## Contact information

- **Practice address:** 4618 KINGSTON SHORES LN, ROSHARON, TX 77583-1646
- **Practice address phone:** (360) 481-9594
- **Mailing address:** 4618 KINGSTON SHORES LN, ROSHARON, TX 77583-1646
- **Mailing address phone:** (360) 481-9594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2022
- **Last updated:** 03/29/2022