Provider Demographics
NPI:1770393480
Name:FAMILY AND FORENSIC COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:FAMILY AND FORENSIC COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOOLSBY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CDC II, CFMHE
Authorized Official - Phone:907-252-7460
Mailing Address - Street 1:PO BOX 1434
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-1434
Mailing Address - Country:US
Mailing Address - Phone:907-252-7460
Mailing Address - Fax:
Practice Address - Street 1:610 ATTLA WAY STE 10
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7777
Practice Address - Country:US
Practice Address - Phone:907-252-7460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health