Provider Demographics
NPI:1326577438
Name:FAMILY FIRST COUNSELING SERVICES
Entity Type:Organization
Organization Name:FAMILY FIRST COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:UFEMA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-436-2965
Mailing Address - Street 1:844 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-2821
Mailing Address - Country:US
Mailing Address - Phone:717-513-6868
Mailing Address - Fax:
Practice Address - Street 1:1999 ARCH ROCK RD
Practice Address - Street 2:
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-8437
Practice Address - Country:US
Practice Address - Phone:717-436-2965
Practice Address - Fax:717-436-2964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-12
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007264261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029338800001Medicaid