Provider Demographics
NPI:1477698017
Name:FAMILY LIFE COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY LIFE COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTTY
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-867-5595
Mailing Address - Street 1:3515 SE 17TH ST
Mailing Address - Street 2:STE. 102
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5586
Mailing Address - Country:US
Mailing Address - Phone:352-867-5595
Mailing Address - Fax:352-867-5572
Practice Address - Street 1:3515 SE 17TH ST
Practice Address - Street 2:STE. 102
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5586
Practice Address - Country:US
Practice Address - Phone:352-867-5595
Practice Address - Fax:352-867-5572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Single Specialty