Healthcare Provider Details

I. General information

NPI: 1578020210
Provider Name (Legal Business Name): THE FAMILY HEALING CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2019
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

746 W MAIN ST STE 1
MOREHEAD KY
40351-1444
US

IV. Provider business mailing address

746 W MAIN ST STE 1
MOREHEAD KY
40351-1444
US

V. Phone/Fax

Practice location:
  • Phone: 606-548-1502
  • Fax:
Mailing address:
  • Phone: 606-548-1502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TIM J DIXON
Title or Position: CEO
Credential:
Phone: 606-548-8937