Provider Demographics
NPI:1295371839
Name:FAMILY FOCUS THERAPY AND EDUCATION SERVICES, LLC.
Entity Type:Organization
Organization Name:FAMILY FOCUS THERAPY AND EDUCATION SERVICES, LLC.
Other - Org Name:FAMILY FOCUS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLEONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:202-302-7166
Mailing Address - Street 1:998 RYE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-3252
Mailing Address - Country:US
Mailing Address - Phone:202-302-7166
Mailing Address - Fax:
Practice Address - Street 1:998 RYE DR
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3252
Practice Address - Country:US
Practice Address - Phone:202-302-7166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-19
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000OtherNO OTHER IDENTIFIERS