Child and Family Service Coordination, LLC

Organization Active NPI Case Management Agency · Alvaton, KY

NPI 1598972762 · NPPES record last updated Jun 5, 2014

Key facts

NPI
1598972762
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
29100427 (KY)
Legal business name
CHILD AND FAMILY SERVICE COORDINATION, LLC
Practice address
9940 Alvaton Rd
Alvaton, KY 42122-9657
Phone
(270) 746-6600
Fax
(270) 842-9008
NPI assigned
May 17, 2007
Organization subpart
No

Authorized official

Name
Jan Trabue, LPCC
Title
Ceo
Phone
(270) 746-6600

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X
Case Management Agency 251B00000X 29100427 KY Yes
Case Management Agency 251B00000X 29200425 KY

Addresses

Primary practice location

9940 Alvaton Rd
Alvaton, KY 42122-9657

Mailing address

9940 Alvaton Rd
Alvaton, KY 42122-9657
Phone (270) 746-6600

Other identifiers

IdentifierTypeStateIssuer
29100427MedicaidKY
29200425MedicaidKY

Other providers in Alvaton, KY

All providers in Alvaton, KY · Case Management Agency in Kentucky

Sources for this page

Verify at the official NPI Registry.