Provider Demographics
NPI:1346360922
Name:FAMILY SERVICES OF MONTGOMERY COUNTY
Entity Type:Organization
Organization Name:FAMILY SERVICES OF MONTGOMERY COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-642-8890
Mailing Address - Street 1:1 E WYNNEWOOD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1918
Mailing Address - Country:US
Mailing Address - Phone:610-642-8890
Mailing Address - Fax:610-642-8986
Practice Address - Street 1:1 E WYNNEWOOD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1918
Practice Address - Country:US
Practice Address - Phone:610-642-8890
Practice Address - Fax:610-642-8986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000745251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health