Provider Demographics
NPI:1154653426
Name:FAMILY PIECE LLC
Entity Type:Organization
Organization Name:FAMILY PIECE LLC
Other - Org Name:FAMILY PIECE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:765-507-0325
Mailing Address - Street 1:331 N INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:GREENTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46936-1240
Mailing Address - Country:US
Mailing Address - Phone:765-461-2900
Mailing Address - Fax:
Practice Address - Street 1:4254 S 00 EW
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-5205
Practice Address - Country:US
Practice Address - Phone:765-461-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001962A101YM0800X
IN35001758A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty