Provider Demographics
NPI:1578154472
Name:KINGS AND QUEENS FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:KINGS AND QUEENS FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ASHEY
Authorized Official - Middle Name:LINDA
Authorized Official - Last Name:BEZICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-500-1939
Mailing Address - Street 1:322 NORTH SHORE DRIVE
Mailing Address - Street 2:BUILDING 1B, SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:215-500-1939
Mailing Address - Fax:
Practice Address - Street 1:322 NORTH SHORE DRIVE
Practice Address - Street 2:BUILDING 1B, SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212
Practice Address - Country:US
Practice Address - Phone:215-500-1939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1952776775OtherN/A