# LIFELINE CHILDREN AND FAMILY SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487913943
- **Authorized official:** RICKY WALTER MA,MS,LCPAA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (866) 885-1440

## Contact information

- **Practice address:** 2500 EAST TC JESTER BOULEVARD, SUITE \# 200, HOUSTON, TX 77008
- **Practice address phone:** (866) 885-1440
- **Practice address fax:** (281) 715-5569
- **Mailing address:** 2500 EAST TC JESTER BOULEVARD, SUITE \# 200, HOUSTON, TX 77008
- **Mailing address phone:** (866) 885-1440
- **Mailing address fax:** (281) 715-5569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | TX | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 05/03/2012