Provider Demographics
NPI:1720768575
Name:FAMILY COUNSELING SERVICE INCORPORATED
Entity Type:Organization
Organization Name:FAMILY COUNSELING SERVICE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-447-4304
Mailing Address - Street 1:481 W PERRY ST STE B
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-4116
Mailing Address - Country:US
Mailing Address - Phone:419-447-6855
Mailing Address - Fax:567-220-6008
Practice Address - Street 1:481 W PERRY ST STE B
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-4116
Practice Address - Country:US
Practice Address - Phone:419-447-6855
Practice Address - Fax:567-220-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health