Provider Demographics
NPI:1669780375
Name:GARNER FAMILY CARE SERVICES, LLC.
Entity type:Organization
Organization Name:GARNER FAMILY CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARION
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-360-7197
Mailing Address - Street 1:893 US HIGHWAY 70 W
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-2597
Mailing Address - Country:US
Mailing Address - Phone:919-779-6461
Mailing Address - Fax:800-881-4493
Practice Address - Street 1:893 US HIGHWAY 70 W
Practice Address - Street 2:SUITE 200
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-2597
Practice Address - Country:US
Practice Address - Phone:919-779-6461
Practice Address - Fax:800-881-4493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YP2500X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5917395Medicaid
NC5917395Medicaid