Healthcare Provider Details

I. General information

NPI: 1609712355
Provider Name (Legal Business Name): FAMILY SUPPORT CONSULTANT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 SAINT NICHOLAS AVE APT 12I
NEW YORK NY
10032-5260
US

IV. Provider business mailing address

898 SAINT NICHOLAS AVE APT 12I
NEW YORK NY
10032-5260
US

V. Phone/Fax

Practice location:
  • Phone: 347-734-2136
  • Fax:
Mailing address:
  • Phone: 347-734-2136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANN ELLIOTT
Title or Position: OWNER
Credential:
Phone: 347-734-2136