Provider Demographics
NPI:1417576414
Name:FAMILY INITIATIVE THERAPY L.L.C.
Entity Type:Organization
Organization Name:FAMILY INITIATIVE THERAPY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MANGANO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:484-919-3242
Mailing Address - Street 1:196 W ASHLAND ST STE 207
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4040
Mailing Address - Country:US
Mailing Address - Phone:484-544-3049
Mailing Address - Fax:
Practice Address - Street 1:196 W ASHLAND ST STE 207
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4040
Practice Address - Country:US
Practice Address - Phone:484-544-3049
Practice Address - Fax:484-626-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty