Provider Demographics
NPI:1164570412
Name:FAMILY LINKS COUNSELING
Entity Type:Organization
Organization Name:FAMILY LINKS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:INCORVAIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSSA, LISW
Authorized Official - Phone:419-727-1200
Mailing Address - Street 1:4747 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43611-2850
Mailing Address - Country:US
Mailing Address - Phone:419-727-1200
Mailing Address - Fax:419-727-1200
Practice Address - Street 1:4747 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43611-2850
Practice Address - Country:US
Practice Address - Phone:419-727-1200
Practice Address - Fax:419-727-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty