FAMILY LIFE COUNSELING & PSYCHIATRIC SERVICES NPI 1669731246

NPI Information

NPI: 1669731246
Provider Name: FAMILY LIFE COUNSELING & PSYCHIATRIC SERVICES
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
151 MARION AVE
MANSFIELD, OH
ZIP 44903
Phone: (419) 774-9969
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FAMILY LIFE COUNSELING & PSYCHIATRIC SERVICES is an addiction (substance use disorder) counselor in Mansfield, OH. FAMILY LIFE COUNSELING & PSYCHIATRIC SERVICES NPI is 1669731246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

151 MARION AVE
MANSFIELD, OH
ZIP 44903-223
Phone: (419) 774-9969
Fax: (419) 756-5642

The provider's authorized official is John Cochran .
The authorized official title is Cfo and has the following contact phone number (419) 774-9969.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 5/16/2012.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			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	2864575	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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