FAMILY CARE AND COUNSELING SERVICES, INC NPI 1003001801

Community/Behavioral Health in Lithonia, GA

Organization Community/Behavioral Health

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 12 years ago.

NPI

1003001801

Provider NameFAMILY CARE AND COUNSELING SERVICES, INC
Provider Location Address1105 PALMER RD LITHONIA, GA 30058
Provider Mailing Address1105 PALMER RD LITHONIA, GA 30058
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-14-2007
Last Update Date09-14-2007

Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.251SOOOOOX
License StateGA
Taxonomy DescriptionA 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 NameDR. OBADIAH TENTISHE YUSUFU ED.D
Authorized Official TitleCEO
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
75934753AMEDICAID (05)GA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

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
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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