Basic Information
| Provider Information | |||||||||
| NPI: | 1659614287 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ARROW CHILD & FAMILY MINISTRIES OF TEXAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2929 FM 2920 RD | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773883428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812101558 | ||||||||
| FaxNumber: | 8177199193 | ||||||||
| Practice Location | |||||||||
| Address1: | 2929 FM 2920 RD | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773883428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812101500 | ||||||||
| FaxNumber: | 2812101564 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2013 | ||||||||
| LastUpdateDate: | 02/09/2022 | ||||||||
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| AuthorizedOfficialLastName: | SAUERS | ||||||||
| AuthorizedOfficialFirstName: | ANJANETTE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 2812101527 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | N | Agencies | Community/Behavioral Health | 101Y00000X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | 101YP2500X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Professional | 1041C0700X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical | 251B00000X | Y | Agencies | Case Management |
ID Information
| ID | Type | State | Issuer | Description | 3257339-02 | 05 | TX | MEDICAID |