Provider Demographics
NPI:1265675797
Name:FAMILIES FORWARD COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:FAMILIES FORWARD COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRECKNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:417-827-1105
Mailing Address - Street 1:705 W BATTLEFIELD ST
Mailing Address - Street 2:STE. 206
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4125
Mailing Address - Country:US
Mailing Address - Phone:417-886-2200
Mailing Address - Fax:417-890-0015
Practice Address - Street 1:705 W BATTLEFIELD ST
Practice Address - Street 2:STE. 206
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-4125
Practice Address - Country:US
Practice Address - Phone:417-886-2200
Practice Address - Fax:417-890-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005090009101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty