Provider Demographics
NPI:1902013311
Name:FSC, INC.
Entity Type:Organization
Organization Name:FSC, INC.
Other - Org Name:FIRST STEP COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GWENN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-942-8808
Mailing Address - Street 1:219 SUNSET AVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4599
Mailing Address - Country:US
Mailing Address - Phone:214-942-8808
Mailing Address - Fax:214-941-8508
Practice Address - Street 1:219 SUNSET AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4599
Practice Address - Country:US
Practice Address - Phone:214-942-8808
Practice Address - Fax:214-941-8508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650B251S00000X
TX650A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTC0004010Medicaid