Provider Demographics
NPI:1811272743
Name:FAMILY AND CHILDRENS AGENCY
Entity type:Organization
Organization Name:FAMILY AND CHILDRENS AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IICAPS MENTAL HEALTH COUSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MARRON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:203-523-5781
Mailing Address - Street 1:9 MOTT AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3330
Mailing Address - Country:US
Mailing Address - Phone:203-855-8765
Mailing Address - Fax:
Practice Address - Street 1:9 MOTT AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3330
Practice Address - Country:US
Practice Address - Phone:203-855-8765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health