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General NPI Number Information
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NPI Number | 1063442390
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Entity Type | Organization
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Legal Business Name | FAMILY SERVICE ASSOCIATION
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 2211 ARBOR BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1521
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Country | US
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Telephone | 937-222-9481
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Fax | 937-222-3710
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Provider Business Mailing Address
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Address Line | 2211 ARBOR BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1521
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Country | US
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Telephone | 937-222-9481
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Fax | 937-222-3710
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. BONNIE R. PARISH
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Credential | LISW,LPCC
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Telephone | 937-222-9481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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