Provider Demographics
NPI:1073034823
Name:FAMILY SOLUTIONS COUNSELING
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:KARYN
Authorized Official - Last Name:LACY WHISLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:435-915-6777
Mailing Address - Street 1:523 N 750 E
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:UT
Mailing Address - Zip Code:84318-3357
Mailing Address - Country:US
Mailing Address - Phone:435-915-6777
Mailing Address - Fax:
Practice Address - Street 1:115 GOLF COURSE RD
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-7704
Practice Address - Country:US
Practice Address - Phone:435-799-5035
Practice Address - Fax:435-535-3782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-02
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8229576-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty