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NPI Code Detail

MEDICARE: FAMILY SERVICE

MEDICARE: FAMILY SERVICE
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4101YP2500XProfessional Counselor
5103T00000XPsychologist
61041C0700XClinical Social Worker
7104100000XSocial Worker

General Provider Information

NPI Number : 1174956015
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE
Provider Business Mailing Address
First Line : 120 PARSONS ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2002
Country : US
Telephone Number : 313-579-5989
Fax Number : 313-831-9139
Provider Business Practice Location Address
First Line : 461 ELIOT ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2132
Country : US
Telephone Number : 313-579-5989
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DEBORAH M SNYDER
Credential : LLP
Telephone Number : 313-274-5840
Provider Enumeration Date : 08/14/2013
Last Update Date : 08/14/2013

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Directions to “FAMILY SERVICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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