Organization Active NPI

Child & Family Support Services, LLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1104185115
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILD & FAMILY SUPPORT SERVICES, LLC
Practice address
2921 Gross Ave
Wake Forest, NC 27587-6496
Phone
(954) 257-7394
Fax
(919) 400-4210
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Ms. Anse Daniel, LMFT
Title
Ceo
Phone
(954) 257-7394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2921 Gross Ave
Wake Forest, NC 27587-6496

Mailing address

3300 Onyx Rd
Miramar, FL 33025-2821
Phone (954) 257-7394

National Provider Directory

National Provider Directory
Tax ID family
Child Family Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1104185115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ONYX RD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252821",
            "telephone_number": "954-257-7394",
            "fax_number": "919-400-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 GROSS AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876496",
            "telephone_number": "954-257-7394",
            "fax_number": "919-400-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "ANSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-257-7394",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.