Active NPI
Child & Family Support Services, LLC
- Community/Behavioral Health Agency
- Wake Forest, NC
National Provider Identifier
1104185115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Pembroke Pines, FL
- NPI 1285053553
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.