Family Ties, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

05908 Issued in IA

Legal business name

FAMILY TIES, INC.

Practice address

700 Grace St
Council Bluffs, IA 51503-4974

Phone

(712) 396-0290

Fax

(712) 396-0291

NPI assigned

Nov 15, 2006

Last updated

Aug 22, 2020By 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

Mr. Gary D Mahoney, LMSW

Title

Director

Phone

(712) 396-0290

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396818936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GRACE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034974",
            "telephone_number": "712-396-0290",
            "fax_number": "712-396-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GRACE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034974",
            "telephone_number": "712-396-0290",
            "fax_number": "712-396-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "712-396-0290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "05908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.