Provider Demographics
NPI:1902854185
Name:GAINESVILLE FAMILY INSTITUTE
Entity Type:Organization
Organization Name:GAINESVILLE FAMILY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERB
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-376-5543
Mailing Address - Street 1:1031 NW 6TH STREET, SUITE C2
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-4277
Mailing Address - Country:US
Mailing Address - Phone:352-376-5543
Mailing Address - Fax:352-376-2042
Practice Address - Street 1:1031 NW 6TH STREET, SUITE C2
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4277
Practice Address - Country:US
Practice Address - Phone:352-376-5543
Practice Address - Fax:352-376-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004709103TC1900X
FLSW05661041C0700X
FLMT0000452106H00000X
FLMT00001276106H00000X
FLMT00001633106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty