Healthcare Provider Details
I. General information
NPI: 1780124305
Provider Name (Legal Business Name): FAMILIES FIRST COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/01/2017
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 S KINGSTON ST
CALEDONIA MN
55921-1315
US
IV. Provider business mailing address
101 S KINGSTON ST
CALEDONIA MN
55921-1315
US
V. Phone/Fax
- Phone: 507-259-9663
- Fax:
- Phone: 608-799-5370
- Fax: 507-725-5095
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | LP3010 |
| License Number State | MN |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | LP3010 |
| License Number State | MN |
VIII. Authorized Official
Name:
KAYLA
LARKIN
Title or Position: OWNER
Credential:
Phone: 608-799-5370