Provider Demographics
NPI:1487189031
Name:FUNCARE
Entity Type:Organization
Organization Name:FUNCARE
Other - Org Name:FAMILY BUILDER'S COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DARNELL
Authorized Official - Middle Name:C
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:734-834-9937
Mailing Address - Street 1:3395 CREEKS BEND CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2386
Mailing Address - Country:US
Mailing Address - Phone:734-834-9937
Mailing Address - Fax:
Practice Address - Street 1:2048 WASHTENAW RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1889
Practice Address - Country:US
Practice Address - Phone:734-629-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization