Provider Demographics
NPI:1407155575
Name:FAMILY MATTERS COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:FAMILY MATTERS COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:GODSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-278-8707
Mailing Address - Street 1:2809 WASHINGTON AVE
Mailing Address - Street 2:SUITE R
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421-5310
Mailing Address - Country:US
Mailing Address - Phone:812-278-8707
Mailing Address - Fax:877-366-6099
Practice Address - Street 1:2809 WASHINGTON AVE
Practice Address - Street 2:SUITE R
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-5310
Practice Address - Country:US
Practice Address - Phone:812-278-8707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006152A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty