MEDICARE: FAMILY & CHILDREN'S SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023122439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY & CHILDREN'S SERVICES, INC

Provider Business Mailing Address
First Line	:	650 S PEORIA
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74120-4429
Country	:	US
Telephone Number	:	918-587-9471
Fax Number	:	918-560-1399

Provider Business Practice Location Address
First Line	:	650 S PEORIA
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74120-4429
Country	:	US
Telephone Number	:	918-587-9471
Fax Number	:	918-560-1399

Authorized Official
Title or Position	:	CHIEF CLINICAL SERVICES OFFICER
Name	:	ANN JENKINS
Credential	:	LPC, LMFT
Telephone Number	:	918-991-6650

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	11/12/2018

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