Provider Demographics
NPI:1548567506
Name:UNITED FAMILY COUNSELING
Entity Type:Organization
Organization Name:UNITED FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIOSOTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-265-8633
Mailing Address - Street 1:5740 JULIAN RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-6096
Mailing Address - Country:US
Mailing Address - Phone:770-265-8633
Mailing Address - Fax:
Practice Address - Street 1:5740 JULIAN RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-6096
Practice Address - Country:US
Practice Address - Phone:770-265-8633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-26
Last Update Date:2011-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health