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Organization

FAMILY COMMUNITY CASE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LANG ELLIOTT LCDC-I (C.E.O./DIRECTOR)
(682) 777-5299
Entity
Organization

Contact information

Practice address
1903 CENTRAL DR STE 301, BEDFORD, TX 76021-5813
(682) 777-5299
(855) 282-5709
Mailing address
PO BOX 221631, BEDFORD, TX 76095
(682) 777-5299
(855) 282-5789

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174200000X
Meals Provider
175T00000X
Peer Specialist
177F00000X
Lodging Provider
251B00000X
Case Management Agency
Primary
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
385H00000X
Respite Care

Other

Enumeration date
08/31/2020
Last updated
12/09/2025
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