Healthcare Provider Details

I. General information

NPI: 1851507990
Provider Name (Legal Business Name): FAMILY EMPOWERMENT COUNCIL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 DOLSON AVE SUITE 403
MIDDLETOWN NY
10940-6569
US

IV. Provider business mailing address

225 DOLSON AVE SUITE 403
MIDDLETOWN NY
10940-6569
US

V. Phone/Fax

Practice location:
  • Phone: 845-343-8100
  • Fax: 845-343-4477
Mailing address:
  • Phone: 845-343-8100
  • Fax: 845-343-4477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY ANDERSON-WINCHELL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 845-692-4454