Individual & Family Services Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1250 Issued in FL

Legal business name

INDIVIDUAL & FAMILY SERVICES INC

Practice address

2401 W Bay Dr
BLDG 100 Suite 117
Largo, FL 33770-4900

Phone

(727) 584-4437

Fax

(727) 559-9824

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Rosen, MS LMHC

Title

Owner

Phone

(727) 584-4437

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104034735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BAY DR",
            "address_2": "BLDG 100 SUITE 117",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704900",
            "telephone_number": "727-584-4437",
            "fax_number": "727-559-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BAY DR",
            "address_2": "BLDG 100 SUITE 117",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704900",
            "telephone_number": "727-584-4437",
            "fax_number": "727-559-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL & FAMILY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-584-4437",
        "authorized_official_credential": "MS LMHC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Largo, FL
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• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.