Family Solutions Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FAMILY SOLUTIONS SERVICES LLC

Practice address

121 Front St
Beaver Dam, WI 53916-2133

Phone

(920) 306-1250

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelby Brandsma, LCSW

Title

Sole Member

Phone

(920) 296-0611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1316710585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6631 THOMPSON RD",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169411",
            "telephone_number": "920-296-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FRONT ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162133",
            "telephone_number": "920-306-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SOLUTIONS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "BRANDSMA",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "920-296-0611",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.