NPI Code Details Logo

NPI 1285921064

NPI 1285921064 : FAMILY SOLUTIONS, PLLC : GREENSBORO, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285921064
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FAMILY SOLUTIONS, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/30/2011
-----------------------------------------------------
    Last Update Date     |    07/21/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    231 N SPRING ST 
-----------------------------------------------------
    City                 |    GREENSBORO
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27401-2231
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-899-8800
-----------------------------------------------------
    Fax                  |    336-899-8811
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    231 N SPRING ST 
-----------------------------------------------------
    City                 |    GREENSBORO
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27401-2231
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-899-8800
-----------------------------------------------------
    Fax                  |    336-899-8811
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MEMBER MANAGER
-----------------------------------------------------
    Name                 |     CHRIS  FAULKNER 
-----------------------------------------------------
    Credential           |    LCSW
-----------------------------------------------------
    Telephone            |    336-392-1606
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    C003085
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.