Provider Demographics
NPI:1417398009
Name:FAMILY SOLUTIONS COUNSELING
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:702-885-7904
Mailing Address - Street 1:7880 N UNIVERSITY DR
Mailing Address - Street 2:#200
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2124
Mailing Address - Country:US
Mailing Address - Phone:702-885-7904
Mailing Address - Fax:
Practice Address - Street 1:7880 N UNIVERSITY DR
Practice Address - Street 2:#200
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2124
Practice Address - Country:US
Practice Address - Phone:702-885-7904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty