Family Intervention & Community Advocay, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAMILY INTERVENTION & COMMUNITY ADVOCAY, LLC

Doing business as

F.I.C.a, LLC

Practice address

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1202

Phone

(704) 719-6615

Fax

(252) 793-3117

NPI assigned

Dec 7, 2009

Last updated

Dec 7, 2009By 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

Ms. Shemeika Lewis, BA,QMHP, QDDMHP

Title

Owner

Phone

(704) 719-6615

Specialties & licenses 3

Addresses

Other names 1

• F.I.C.A, LLC Doing business as

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1750619532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "address_2": "4TH FLOOR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "704-719-6615",
            "fax_number": "252-793-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW",
            "address_2": "SUITE 2200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031202",
            "telephone_number": "704-719-6615",
            "fax_number": "252-793-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY INTERVENTION & COMMUNITY ADVOCAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHEMEIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-719-6615",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA,QMHP, QDDMHP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F.I.C.A, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.