Provider Demographics
NPI:1407843311
Name:FAMILY DIMENSIONS INC.
Entity Type:Organization
Organization Name:FAMILY DIMENSIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SPAHR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:505-292-1554
Mailing Address - Street 1:1201 EUBANK BLVD NE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5386
Mailing Address - Country:US
Mailing Address - Phone:505-292-1554
Mailing Address - Fax:505-292-1574
Practice Address - Street 1:1201 EUBANK BLVD NE
Practice Address - Street 2:SUITE 6
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5386
Practice Address - Country:US
Practice Address - Phone:505-292-1554
Practice Address - Fax:505-292-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLPCC 1116101YP2500X
NMLPCC 1729101YP2500X
NMI-054931041C0700X
NMLMFT 1307106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM27933521Medicaid