Organization Name: | FAMILIES FIRST COUNSELING CENTER, LLC |
NPI Number: | 1245422849 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE LYNN HAYMAN (CLINICAL DIRECTOR) |
Mailing Address: | 23758 State Road 35 Siren |
State: | WI US |
Postal Code: | 548720356 |
Phone Number: | 7153498913 |
Fax Number: | 7153498981 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 2493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |