Family Support Group Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FAMILY SUPPORT GROUP INC

Practice address

139 Boulder View Pkwy
Dallas, GA 30157-2311

Phone

(919) 539-4212

Fax

(678) 609-5608

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Tonya Simmons

Title

Director

Phone

(919) 539-4212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1124488283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 WESSEL WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104260",
            "telephone_number": "919-539-4212",
            "fax_number": "678-609-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BOULDER VIEW PKWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572311",
            "telephone_number": "919-539-4212",
            "fax_number": "678-609-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-539-4212"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Dallas, GA
• Providers in Dallas, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.