FAMILY CARE AND COUNSELING SERVICES, INC NPI 1003001801

Community/Behavioral Health in Lithonia, GA

About FAMILY CARE AND COUNSELING SERVICES, INC

Family Care And Counseling Services, Inc is a provider in Lithonia, GA. The NPI number assigned to this provider is 1003001801. The practitioner's primary taxonomy code is Community/Behavioral Health (251S00000X). The provider is registered as an organization and their NPI record was last updated 11 years ago.

NPI	1003001801 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	FAMILY CARE AND COUNSELING SERVICES, INC
Provider Location Address	1105 PALMER RD LITHONIA, GA 30058 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	1105 PALMER RD LITHONIA, GA 30058 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-14-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-14-2007 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	251S00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Community/Behavioral Health
Type	Agencies
License No.	251SOOOOOX
License State	GA
Taxonomy Description	A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

FAMILY CARE AND COUNSELING SERVICES, INC
1105 PALMER RD
LITHONIA, GA
ZIP 30058
Phone: (770) 366-3163
Fax: (770) 837-3511

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Mailing Address

FAMILY CARE AND COUNSELING SERVICES, INC
1105 PALMER RD
LITHONIA, GA
ZIP 30058
Phone: (770) 366-3163
Fax: (770) 837-3511

Authorized Official

Authorized Official Name	DR. OBADIAH TENTISHE YUSUFU ED.D Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	CEO
Authorized Official Phone	(770) 366-3163

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
75934753A	MEDICAID (05)	GA

Previous NPI
1003001793

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1003001819