Provider Demographics
NPI:1093832214
Name:FAMILYLINKS, INC
Entity Type:Organization
Organization Name:FAMILYLINKS, INC
Other - Org Name:PARENT AND CHILD GUIDANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-942-0168
Mailing Address - Street 1:2644 BANKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2812
Mailing Address - Country:US
Mailing Address - Phone:412-661-1800
Mailing Address - Fax:412-343-8249
Practice Address - Street 1:2644 BANKSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2812
Practice Address - Country:US
Practice Address - Phone:412-661-1800
Practice Address - Fax:412-343-8249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
PA462550251S00000X
PA413100251S00000X
PA420330251S00000X
PA412960251S00000X
PA411040251S00000X
PA707137251S00000X
PA740106251S00000X
PA707190251S00000X
PA707147251S00000X
PA707259251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100133814OtherPROMISE PROVIDER NUMBER
PA1000005387OtherPROMISE PROVIDER NUMBER
PA100133814OtherPROMISE PROVIDER NUMBER