| Organization Name: | FAMILY PSYCHOLOGICAL SERVICES, LLC |
| NPI Number: | 1053468710 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER SUZAN WERGER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 119 N 11th St Adel |
| State: | IA US |
| Postal Code: | 500031400 |
| Phone Number: | 5159931800 |
| Fax Number: | 5159931801 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LMHC00218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |