Provider Demographics
NPI:1548564560
Name:FAMILIES INCORPORATED
Entity Type:Organization
Organization Name:FAMILIES INCORPORATED
Other - Org Name:CHILD DEVELOPMENT CONSULTANTS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LBSW
Authorized Official - Phone:864-419-0167
Mailing Address - Street 1:201B WEST BUTLER ROAD
Mailing Address - Street 2:1107
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2536
Mailing Address - Country:US
Mailing Address - Phone:864-419-0167
Mailing Address - Fax:
Practice Address - Street 1:12 OAKWAY CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-419-0167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9180101Y00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty