Provider Demographics
NPI:1366713109
Name:FOSTER COUNSELING & FAMILY THERAPY
Entity type:Organization
Organization Name:FOSTER COUNSELING & FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLEL PROPRIETER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:832-754-0433
Mailing Address - Street 1:8331 REDBIRD LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-2105
Mailing Address - Country:US
Mailing Address - Phone:832-754-0433
Mailing Address - Fax:281-458-7504
Practice Address - Street 1:8331 REDBIRD LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-2105
Practice Address - Country:US
Practice Address - Phone:832-754-0433
Practice Address - Fax:281-458-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15522101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181170501Medicaid