Family Care and Counseling Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

251SOOOOOX Issued in GA

Legal business name

FAMILY CARE AND COUNSELING SERVICES, INC

Practice address

1105 Palmer Rd
Lithonia, GA 30058-2947

Phone

(770) 366-3163

Fax

(770) 837-3511

NPI assigned

Sep 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Obadiah Tentishe Yusufu, ED.D

Title

Ceo

Phone

(770) 366-3163

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1003001801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 PALMER RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582947",
            "telephone_number": "770-366-3163",
            "fax_number": "770-837-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 PALMER RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582947",
            "telephone_number": "770-366-3163",
            "fax_number": "770-837-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE AND COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "YUSUFU",
        "authorized_official_first_name": "OBADIAH",
        "authorized_official_middle_name": "TENTISHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-366-3163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "251SOOOOOX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75934753A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.