Family Support Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

11131 Issued in UT

Legal business name

FAMILY SUPPORT CENTER

Practice address

777 W Center St
Midvale, UT 84047-7148

Phone

(801) 255-6881

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie Peters, LCSW

Title

Executive Director

Phone

(801) 255-6881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902875560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W CENTER ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W CENTER ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840477148",
            "telephone_number": "801-255-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-255-6881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "UT",
            "license": "11131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Nicole Fackrell, DC
• Jennifer Fairbourn, MS, LMFT
• Joshua Stephen Falk, LCSW
• Lynn Don Falkner, PA
• Family Support Center
• Farrington Health Care LLC (Applied Therapies and Wellness)
• Fast Track Physical Therapy and Sports Medicine, PLLC
• Skylar Fenton
• Lacey Marie Ferguson
• Oscar R Fernandez, PT

• Voluntary or Charitable Agency in Midvale, UT
• Providers in Midvale, UT by specialty
• Voluntary or Charitable Agency in Utah

• 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.