Provider Demographics
NPI:1578106928
Name:FAMILIES FIRST COUNSELING AND PSYCHIATRY, LLC
Entity Type:Organization
Organization Name:FAMILIES FIRST COUNSELING AND PSYCHIATRY, LLC
Other - Org Name:FAMILIES FIRST COUNSELING AND PSYCHIATRY, PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-304-3327
Mailing Address - Street 1:6410 DOBBIN RD STE F
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4774
Mailing Address - Country:US
Mailing Address - Phone:240-277-3359
Mailing Address - Fax:
Practice Address - Street 1:6410 DOBBIN RD STE F
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4774
Practice Address - Country:US
Practice Address - Phone:240-304-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty