Provider Demographics
NPI:1942696760
Name:FDF VOCATIONAL SERVICES
Entity Type:Organization
Organization Name:FDF VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:DELOIS
Authorized Official - Last Name:FYALL
Authorized Official - Suffix:
Authorized Official - Credentials:CRC,LPC
Authorized Official - Phone:513-969-6954
Mailing Address - Street 1:9425 SHERBORN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3629
Mailing Address - Country:US
Mailing Address - Phone:513-969-6954
Mailing Address - Fax:513-931-9351
Practice Address - Street 1:9425 SHERBORN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3629
Practice Address - Country:US
Practice Address - Phone:513-969-6954
Practice Address - Fax:513-931-9351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0004736101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty