Organization Active NPI

Family Ties Living Center

  • Adult Mental Health Clinic/Center
  • Humble, TX
National Provider Identifier
1194267187
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FAMILY TIES LIVING CENTER
Doing business as
Family Ties Living Center
Practice address
18707 Timbers Trace Drive
Humble, TX 77346
Phone
(832) 630-0352
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Yolanda Yvette Henderson
Title
Program Manager
Phone
(832) 630-0352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X TX Primary

Addresses

Primary practice location

18707 Timbers Trace Drive
Humble, TX 77346

Mailing address

18707 Timbers Trace Dr
Humble, TX 77346-2672
Phone (832) 630-0352

Other names 1

  • Family Ties Living Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1194267187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18707 TIMBERS TRACE DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462672",
            "telephone_number": "832-630-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 TIMBERS TRACE DRIVE",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77346",
            "telephone_number": "832-630-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "832-630-0352"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Ties Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.