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FAMILY THERAPY & DEVELOPMENT CENTERS INC NPI 1295916187


NPI Information

NPI: 1295916187
Provider Name: FAMILY THERAPY & DEVELOPMENT CENTERS INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2460 LAKESHORE DR
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 982-3832
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FAMILY THERAPY & DEVELOPMENT CENTERS INC is a mental health counselor in Saint Joseph, MI. FAMILY THERAPY & DEVELOPMENT CENTERS INC NPI is 1295916187. The provider is registered as an organization entity type.

The provider's business location address is:

2460 LAKESHORE DR
SAINT JOSEPH, MI
ZIP 49085-874
Phone: (269) 982-3832
Fax: (269) 281-0351

The provider's authorized official is Janene Marie Donarski .
The authorized official title is Owner And Therapist and has the following contact phone number (269) 982-3832.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 4/10/2013.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness6802080845MICHIGANNo
2101YM0800XCounselorMental Health6801087845MICHIGANYes

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
10P21820MEDICARE PINMICHIGAN
221820001MEDICARE PINMICHIGAN
362-79049MEDICAIDMICHIGAN

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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