Family Christian Care Service

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20158 Issued in TX

Legal business name

FAMILY CHRISTIAN CARE SERVICE

Practice address

623 Main St
Suite 3
Liberty, TX 77575-4849

Phone

(936) 334-1224

Fax

(936) 334-1224

NPI assigned

Jun 4, 2010

Last updated

Jun 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William F Herrin Sr., M.ED. LPC

Title

Owner

Phone

(936) 334-1224

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1063732733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "address_2": "SUITE 3",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754849",
            "telephone_number": "936-334-1224",
            "fax_number": "936-334-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "address_2": "SUITE 3",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754849",
            "telephone_number": "936-334-1224",
            "fax_number": "936-334-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHRISTIAN CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "HERRIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-334-1224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.ED. LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "20158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179137801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia R Drake, RVT, RT, LVN
• Dungarvin Texas, LLC (Holly St. Community Residence)
• Stephanie Jernigan Easley, D.C.
• Steven Ellerbe
• Ess of South Texas LLC
• Faresh Mehta, O.D., P.a.
• Britney Ferguson
• Letha Ferguson, FNPC
• Firm Foundations Healthcare Clinic PC
• Firm Foundations Healthcare Clinic PC

• Community/Behavioral Health Agency in Liberty, TX
• Providers in Liberty, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.