Provider Demographics
NPI:1720145030
Name:FAMILIES UNITED SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILIES UNITED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:678-817-1120
Mailing Address - Street 1:500 W LANIER AVE
Mailing Address - Street 2:SUITE 904
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7636
Mailing Address - Country:US
Mailing Address - Phone:678-817-1120
Mailing Address - Fax:
Practice Address - Street 1:500 W LANIER AVE
Practice Address - Street 2:SUITE 904
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7636
Practice Address - Country:US
Practice Address - Phone:678-817-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA103836OtherOUTPATIENT MENTAL HEALTH
GA10043184OtherOUTPATIENT MENTAL HEALTH