Family Restorations LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

FAMILY RESTORATIONS LLC

Practice address

141 Vanderbilt CT
Bowling Green, KY 42103-7020

Phone

(270) 535-4516

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

William Lee Fowlkes, LCSWNPI 1205601929

Title

Director

Phone

(270) 535-4516

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Lee Fowlkes, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1205601929
  NPD Authorized official

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1871165720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HOMESTEAD CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044122",
            "telephone_number": "270-779-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 VANDERBILT CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037020",
            "telephone_number": "270-535-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESTORATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-535-4516",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Healthcare Inc
• Kristian Wendolyn Falcon, DO
• Family Care Clinical Services, PLLC
• Family First Developmental Services
• Family Options, Inc.
• Familyworks Therapy, LLC
• Courtney Fancher
• Chandler Sloan Fane, MD
• Meredith Michelle Fane, CSW
• Robert Bruce Fane, ED.D

• All providers in Bowling Green, KY
• Adolescent and Children Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.