Provider Demographics
NPI:1801875653
Name:FAMILYWORKS
Entity type:Organization
Organization Name:FAMILYWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEGEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:239-947-0033
Mailing Address - Street 1:9856 TONYA CT
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4717
Mailing Address - Country:US
Mailing Address - Phone:239-947-0033
Mailing Address - Fax:239-947-4722
Practice Address - Street 1:9856 TONYA CT
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4717
Practice Address - Country:US
Practice Address - Phone:239-947-0033
Practice Address - Fax:239-947-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW1818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ3703Medicare ID - Type Unspecified