Family Service Agency

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

LPC-12450 Issued in AZ

Legal business name

FAMILY SERVICE AGENCY

Practice address

943 S Gilbert Rd
Mesa, AZ 85204-4441

Phone

(602) 264-9891

NPI assigned

Nov 14, 2011

Organization subpart

No

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

Authorized official

Name

Clarice A. Parham, M.A., LPC

Title

Clinical Director

Phone

(602) 264-9891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1942587217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15031 N 8TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235282",
            "telephone_number": "928-266-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852044441",
            "telephone_number": "602-264-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "PARHAM",
        "authorized_official_first_name": "CLARICE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-264-9891",
        "authorized_official_credential": "M.A., LPC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "AZ",
            "license": "LPC-12450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Center of East Valley PLLC
• Family Health Medical Clinic LLC
• Family Home Health & Hospice LLC (Family Home Health)
• Family Nurse Practice P.L.L.C.
• Family Service Agency
• Family Strategies LLC (Family Strategies & Coaching)
• Family Tooth Doctor LL, LLC
• Family Trans LLC
• Emily Fankhauser, LAC
• Angela Fanucchi, BHS SPECIALIST

• Point of Service in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Point of Service in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.