FONSECA FAMILY SERVICES NPI 1932385754

NPI Information

NPI: 1932385754
Provider Name: FONSECA FAMILY SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1111 FAYETTEVILLE ST
DURHAM, NC
ZIP 27701
Phone: (919) 683-1500
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FONSECA FAMILY SERVICES is a mental health counselor in Durham, NC. FONSECA FAMILY SERVICES NPI is 1932385754. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1111 FAYETTEVILLE ST
DURHAM, NC
ZIP 27701-918
Phone: (919) 683-1500
Fax: (919) 683-1004

The provider's authorized official is Gernisha A Fonseca .
The authorized official title is Ceo and has the following contact phone number (919) 683-1500.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/10/2008.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YP1600X	Counselor	Pastoral	No
3	101YP2500X	Counselor	Professional	No
4	103T00000X	Psychologist		No
5	103TC1900X	Psychologist	Counseling	No
6	103TP2701X	Psychologist	Group Psychotherapy	No
7	1041C0700X	Social Worker	Clinical	No
8	106H00000X	Marriage & Family Therapist		No
9	101YM0800X	Counselor	Mental Health	Yes

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
1	8301961	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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