# ADULT PARENT FAMILY CHILD, LLC

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

## Provider details

- **NPI number:** 1225396005
- **Authorized official:** MR. MARK B HARRIS LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (210) 979-9437

## Contact information

- **Practice address:** 8400 BLANCO RD, SUITE 206, SAN ANTONIO, TX 78216-3055
- **Practice address phone:** (210) 979-9437
- **Practice address fax:** (210) 979-9839
- **Mailing address:** 8400 BLANCO RD, SUITE 206, SAN ANTONIO, TX 78216-3055
- **Mailing address phone:** (210) 979-9437
- **Mailing address fax:** (210) 979-9839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 25515 | TX | Yes |

## Other

- **Enumeration date:** 04/30/2012
- **Last updated:** 04/30/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00790H | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 102864904 | — | TX |
| 01 | — | 4935407850000 | TRICARE | TX |