Organization
FAMILY ADVOCACY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA KELLEY SHOULDERS L.P.C. (GENERAL PARTNER)
(903) 276-9242
Entity
Organization
Contact information
Practice address
1180 OLD REDWATER RD, TEXARKANA, TX 75501-2253
(903) 276-9242
Mailing address
1180 OLD REDWATER ROAD, TEXARKANA, TX 75501-2253
(903) 276-9242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64428
TX
251S00000X
Community/Behavioral Health Agency
4844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4844
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
01
—
64428
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
12/28/2010
Last updated
02/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us