Family Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-29299 Issued in ID

Legal business name

FAMILY SERVICES, PLLC

Practice address

2007 E Quail Run Rd Ste 2
Emmett, ID 83617-5059

Phone

(208) 365-2525

Fax

(208) 365-2234

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Mahealani Paller, LCSW

Title

Owner

Phone

(208) 365-2525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1861702011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836170981",
            "telephone_number": "208-365-2525",
            "fax_number": "208-365-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 E QUAIL RUN RD STE 2",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836175059",
            "telephone_number": "208-365-2525",
            "fax_number": "208-365-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "PALLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MAHEALANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-365-2525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-29299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmett Rehabilitation & Health Care Inc
• Emmett Rehabilitation and Healthcare, Inc
• Emmetts Finest Air Express Taxi LLC
• Family Services Treatment
• Family Services Treatment
• Sabrina Field, OT
• Kristen Michelle Folger, PT, DPT
• Mandi Marie Forrester, PHARM.D.
• Fuller Health Care Goup, PLLC
• Bobbi Fuller, DNP

• All providers in Emmett, ID
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.