Provider Demographics
NPI:1821548249
Name:FAMILY THERAPEUTIC SOLUTIONS LLC
Entity Type:Organization
Organization Name:FAMILY THERAPEUTIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:N
Authorized Official - Last Name:NYEPLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-655-2711
Mailing Address - Street 1:540 E 105TH ST
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-4301
Mailing Address - Country:US
Mailing Address - Phone:216-858-6823
Mailing Address - Fax:
Practice Address - Street 1:540 E 105TH ST
Practice Address - Street 2:SUITE 100A
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-4301
Practice Address - Country:US
Practice Address - Phone:216-858-6823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health