Provider Demographics
NPI:1457893380
Name:FAMILY COUNSELING ASSOCIATES, LTD
Entity Type:Organization
Organization Name:FAMILY COUNSELING ASSOCIATES, LTD
Other - Org Name:FAMILY COUNSELING ASSOCIATES, LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HILFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:855-437-6779
Mailing Address - Street 1:151 ORCHARDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5836
Mailing Address - Country:US
Mailing Address - Phone:440-223-3893
Mailing Address - Fax:
Practice Address - Street 1:151 ORCHARDVIEW RD
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131
Practice Address - Country:US
Practice Address - Phone:440-223-3893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5730103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9357071Medicare PIN