Provider Demographics
NPI:1265769178
Name:FAMILY 1ST PARTNERSHIPS, INC.
Entity type:Organization
Organization Name:FAMILY 1ST PARTNERSHIPS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KESHIA
Authorized Official - Middle Name:DUNN
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS, NCC, CSI
Authorized Official - Phone:704-619-9290
Mailing Address - Street 1:800 BRIAR CREEK RD
Mailing Address - Street 2:SUITE AA 412
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-6903
Mailing Address - Country:US
Mailing Address - Phone:704-631-9937
Mailing Address - Fax:704-248-7988
Practice Address - Street 1:800 BRIAR CREEK RD
Practice Address - Street 2:SUITE AA 412
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-6903
Practice Address - Country:US
Practice Address - Phone:704-631-9937
Practice Address - Fax:866-311-4280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006938Medicaid