Provider Demographics
NPI:1124185954
Name:FAMILY SERVICES UNLIMITED, INC
Entity Type:Organization
Organization Name:FAMILY SERVICES UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:404-944-6166
Mailing Address - Street 1:8075 MALL PKWY
Mailing Address - Street 2:SUITE 101-334
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-6993
Mailing Address - Country:US
Mailing Address - Phone:404-944-6166
Mailing Address - Fax:770-322-0487
Practice Address - Street 1:8075 MALL PKWY
Practice Address - Street 2:SUITE 101-334
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-6993
Practice Address - Country:US
Practice Address - Phone:404-944-6166
Practice Address - Fax:770-322-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA839675116AMedicaid