Provider Demographics
NPI:1053605105
Name:FAMILY ENRICHMENT CLINIC
Entity type:Organization
Organization Name:FAMILY ENRICHMENT CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOKO
Authorized Official - Middle Name:FUKUI
Authorized Official - Last Name:SEUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-780-2833
Mailing Address - Street 1:7100 REGENCY SQUARE BLVD STE 136
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3181
Mailing Address - Country:US
Mailing Address - Phone:713-780-2833
Mailing Address - Fax:
Practice Address - Street 1:7100 REGENCY SQUARE BLVD STE 136
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3181
Practice Address - Country:US
Practice Address - Phone:713-780-2833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65667106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty