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FAMILY SERVICE INC. NPI 1598717472


NPI Information

NPI: 1598717472
Provider Name: FAMILY SERVICE INC.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
214 E. FRANKLIN BLVD
GASTONIA, NC
ZIP 28052
Phone: (704) 864-7704
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FAMILY SERVICE INC. is a counselor in Gastonia, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FAMILY SERVICE INC. NPI is 1598717472. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

214 E. FRANKLIN BLVD
GASTONIA, NC
ZIP 28052
Phone: (704) 864-7704
Fax: (704) 862-0239

The provider's authorized official is Philip Joseph Deluca .
The authorized official title is Director and has the following contact phone number (704) 864-7704.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101Y00000XCounselor3588NORTH CAROLINANo
3101Y00000XCounselor3726NORTH CAROLINANo
4101Y00000XCounselor6682NORTH CAROLINANo
5101Y00000XCounselorC000132NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16003807MEDICAIDNORTH CAROLINA
20242MOTHERNORTH CAROLINABLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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