# FAMILY SERVICE ASSN OF LUBBOCK, TEXAS, INC.

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

## Provider details

- **NPI number:** 1659541308
- **Authorized official:** BRYAN MOFFITT LPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (806) 747-3488

## Contact information

- **Practice address:** 22 BRIERCROFT OFFICE PARK STE 10, LUBBOCK, TX 79412-3007
- **Practice address phone:** (806) 747-3488
- **Practice address fax:** (806) 747-3219
- **Mailing address:** 22 BRIERCROFT OFFICE PARK STE 10, LUBBOCK, TX 79412-3007
- **Mailing address phone:** (806) 747-3488
- **Mailing address fax:** (806) 747-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 33072 | TX | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/10/2008
