Provider Demographics
NPI:1497093231
Name:VMS FAMILY COUNSELING SERVICES
Entity Type:Organization
Organization Name:VMS FAMILY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:559-573-4194
Mailing Address - Street 1:2350 W SHAW AVE
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3401
Mailing Address - Country:US
Mailing Address - Phone:559-573-4194
Mailing Address - Fax:
Practice Address - Street 1:2350 W SHAW AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3401
Practice Address - Country:US
Practice Address - Phone:559-573-4194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC #52610251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health