Provider Demographics
NPI:1003246711
Name:FAMILY PSYCHCARE, LLC
Entity Type:Organization
Organization Name:FAMILY PSYCHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDIN-ZEMNOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:917-406-8884
Mailing Address - Street 1:16680 S POST RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3571
Mailing Address - Country:US
Mailing Address - Phone:917-406-8884
Mailing Address - Fax:
Practice Address - Street 1:16680 S POST RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3571
Practice Address - Country:US
Practice Address - Phone:917-406-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMT138251S00000X
NY000115-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health