Provider Demographics
NPI:1346730058
Name:FAMILY DECISIONS LLC
Entity Type:Organization
Organization Name:FAMILY DECISIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINCIAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EMBACHER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:507-380-9557
Mailing Address - Street 1:304 RIVER PARK DR
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7829
Mailing Address - Country:US
Mailing Address - Phone:507-380-9557
Mailing Address - Fax:
Practice Address - Street 1:510 LONG ST STE 100
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4397
Practice Address - Country:US
Practice Address - Phone:507-380-9557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN15450251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN15450OtherBOARD OF SOCIAL WORK