FAMILY SUPPORT NETWORK
NPI 1700911369
Case Management in Saint Louis, MO

Active since February 23, 2007
7514 BIG BEND BLVD, SAINT LOUIS, MO 63119(314) 644-5055(314) 644-5057 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Case Management

About FAMILY SUPPORT NETWORK

This page provides the complete NPI Profile along with additional information for Family Support Network, a provider established in Saint Louis, Missouri operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1700911369 assigned on February 2007. The practitioner's primary taxonomy code is 251B00000X with license number 2002006418 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Juanita Wallace Ma Lpc (Family Therapist)

NPI
1700911369 Verify this NPI
Provider Name
FAMILY SUPPORT NETWORK
Entity Type
Organization
Location Address
7514 BIG BEND BLVD SAINT LOUIS, MO 63119
Location Phone
(314) 644-5055
Location Fax
(314) 644-5057
Mailing Address
570 SHACKELFORD RD FLORISSANT, MO 63031
Mailing Phone
(314) 830-1796
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of 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

Case Management

Taxonomy Code
251B00000X
Type
Agencies
License No.
2002006418
License State
MO
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JUANITA WALLACE MA LPC

Authorized Official Title
FAMILY THERAPIST
Authorized Official Phone
(314) 644-5055

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Social Worker (Clinical)
7514 BIG BEND BLVD
SAINT LOUIS, MO 63119
Counselor (Professional)
7514 BIG BEND BLVD
SAINT LOUIS, MO 63119
Social Worker (Clinical)
7514 BIG BEND BLVD
SAINT LOUIS, MO 63119
Counselor
7514 BIG BEND BLVD
SAINT LOUIS, MO 63119
Clinic/Center (Mental Health (Including Community Mental Health Center))
7514 BIG BEND BLVD
SAINT LOUIS, MO 63119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700911369, enumerated as an "organization" on February 23, 2007.

The provider is located at 7514 BIG BEND BLVD SAINT LOUIS, MO 63119 and the phone number is (314) 644-5055.

Case Management with taxonomy code 251B00000X.