Provider Demographics
NPI:1891870374
Name:FAMILY SOLUTIONS SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICHOLE
Authorized Official - Middle Name:RENAE
Authorized Official - Last Name:HANKS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:712-898-1245
Mailing Address - Street 1:4290 JAY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51041-7584
Mailing Address - Country:US
Mailing Address - Phone:712-898-1245
Mailing Address - Fax:712-239-1136
Practice Address - Street 1:4290 JAY AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-7584
Practice Address - Country:US
Practice Address - Phone:712-898-1245
Practice Address - Fax:712-239-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2984003251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0494716Medicaid
IA1014993Medicaid