Healthcare Provider Details

I. General information

NPI: 1265079206
Provider Name (Legal Business Name): FAMILYCARE COUNSELING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 DIXIE HWY STE 340
FT WRIGHT KY
41011-4702
US

IV. Provider business mailing address

2144 TUSCANYVIEW DR
COVINGTON KY
41017-8158
US

V. Phone/Fax

Practice location:
  • Phone: 859-391-4510
  • Fax: 859-203-8086
Mailing address:
  • Phone: 859-391-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: DERRICK TRAMMELL
Title or Position: OWNER
Credential: LPCC
Phone: 859-391-4510