Active NPI
Ford Family Service, Inc.
- Counselor
- Stone Mountain, GA
National Provider Identifier
1255529582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- FORD FAMILY SERVICE, INC.
- Practice address
- 1305 Panola Rd
Stone Mountain, GA 30088-3303 - Phone
- (770) 235-4287
- Fax
- (770) 469-4536
- NPI assigned
- Oct 11, 2007
- 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
- Mrs. Wilma Ford
- Title
- Ceo
- Phone
- (770) 235-4287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1305 Panola Rd
Stone Mountain, GA 30088-3303
Mailing address
5279 Abbey RDG
Stone Mountain, GA 30088-1820
Phone (770) 235-4287
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1255529582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5279 ABBEY RDG",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300881820",
"telephone_number": "770-235-4287",
"fax_number": "770-469-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 PANOLA RD",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300883303",
"telephone_number": "770-235-4287",
"fax_number": "770-469-4536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORD FAMILY SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "WILMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-235-4287",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.