Provider Demographics
NPI:1649807298
Name:SOS FOR FAMILIES, LLC
Entity type:Organization
Organization Name:SOS FOR FAMILIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BENNY
Authorized Official - Middle Name:KELL
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-640-4339
Mailing Address - Street 1:536 S KELLY RD
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-7194
Mailing Address - Country:US
Mailing Address - Phone:208-640-4339
Mailing Address - Fax:
Practice Address - Street 1:1810 E SCHNEIDMILLER AVE STE 141
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7989
Practice Address - Country:US
Practice Address - Phone:208-981-0515
Practice Address - Fax:208-981-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty