Healthcare Provider Details

I. General information

NPI: 1356327076
Provider Name (Legal Business Name): FAMILY OPTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 05/24/2023
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W OHIO ST
MORGANTOWN KY
42261
US

IV. Provider business mailing address

P.O. BOX 1205
MORGANTOWN KY
42261
US

V. Phone/Fax

Practice location:
  • Phone: 270-526-2228
  • Fax: 270-526-2218
Mailing address:
  • Phone: 270-526-2228
  • Fax: 270-526-2218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAYNE JENNINGS
Title or Position: ADMINISTRATOR
Credential:
Phone: 270-526-2228