Family and Children Support, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FAMILY AND CHILDREN SUPPORT, INC

Practice address

5910 Ga Highway 21 S
Unit 6
Rincon, GA 31326-5505

Phone

(912) 988-3649

NPI assigned

Dec 2, 2015

Last updated

Dec 2, 2015By 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

Dr. Kenneith Durden

Title

Ceo

Phone

(478) 455-2092

Specialties & licenses 3

Addresses

Tax ID family

Family and Children Support Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Family and Children Support, Inc

  • Clinical Social Worker
  • Rincon, GA
  • NPI 1083071385
  NPD tax ID
• Family and Children Support, Inc

  • Professional Counselor
  • Port Wentworth, GA
  • NPI 1558724047
  NPD tax ID

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1356716328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 BRADLEY PARK DR",
            "address_2": "500",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 GA HIGHWAY 21 S",
            "address_2": "UNIT 6",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265505",
            "telephone_number": "912-988-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND CHILDREN SUPPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "DURDEN",
        "authorized_official_first_name": "KENNEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-455-2092",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Life, PC
• Jada Eugene
• Kenneth M Eugene, MD
• Hunter A. Faircloth, M.D.
• Family and Children Support, Inc
• Travis Dalton Farmer, MD
• Gina N Farrell, LPC, NCC
• Ayobami Fatunmbi
• FBTC Transitional Sub, LLC (Bright Light)
• FBTC Transitional Sub, LLC (Bright Light)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.