Healthcare Provider Details

I. General information

NPI: 1952576241
Provider Name (Legal Business Name): FAMILY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8127 JORDAN CLUB COURT
CLEVES OH
45002
US

IV. Provider business mailing address

8127 JORDAN CLUB CT
CLEVES OH
45002-9387
US

V. Phone/Fax

Practice location:
  • Phone: 513-290-8001
  • Fax:
Mailing address:
  • Phone: 513-290-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0031431
License Number StateOH

VIII. Authorized Official

Name: MS. FRANCINE ELAINE WEIL
Title or Position: OWNER/OPERATOR
Credential: LISW
Phone: 513-290-8001