Provider Demographics
NPI:1164677548
Name:THERAPEUTIC FAMILY SERVICES
Entity Type:Organization
Organization Name:THERAPEUTIC FAMILY SERVICES
Other - Org Name:TFS OF HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:CULVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-332-4404
Mailing Address - Street 1:829 HALBERT STREET
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:AR
Mailing Address - Zip Code:72104
Mailing Address - Country:US
Mailing Address - Phone:501-332-4400
Mailing Address - Fax:501-332-4403
Practice Address - Street 1:519 W 3RD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-5002
Practice Address - Country:US
Practice Address - Phone:870-777-4848
Practice Address - Fax:870-777-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C833Medicare UPIN