Provider Demographics
NPI:1477032548
Name:FAMILY HEALTH COUNSELING CENTER
Entity Type:Organization
Organization Name:FAMILY HEALTH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURENCIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRA
Authorized Official - Suffix:
Authorized Official - Credentials:CDC
Authorized Official - Phone:561-420-3012
Mailing Address - Street 1:2677 FOREST HILL BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5941
Mailing Address - Country:US
Mailing Address - Phone:561-433-0123
Mailing Address - Fax:561-967-3484
Practice Address - Street 1:2677 FOREST HILL BLVD STE 102
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5941
Practice Address - Country:US
Practice Address - Phone:561-433-0123
Practice Address - Fax:561-967-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty