Provider Demographics
NPI:1265792931
Name:FAMILIES FOREVER COUNSELING PLC
Entity type:Organization
Organization Name:FAMILIES FOREVER COUNSELING PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LLP
Authorized Official - Phone:616-217-8612
Mailing Address - Street 1:4829 E BELTLINE AVE NE
Mailing Address - Street 2:SUITE #103
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-9747
Mailing Address - Country:US
Mailing Address - Phone:616-217-8621
Mailing Address - Fax:616-466-7953
Practice Address - Street 1:4829 E BELTLINE AVE NE
Practice Address - Street 2:SUITE #103
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-9747
Practice Address - Country:US
Practice Address - Phone:616-217-8621
Practice Address - Fax:616-466-7953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health