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General NPI Number Information
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NPI Number | 1366516379
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Entity Type | Organization
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Legal Business Name | FAMILY OPTIONS COUNSELING, INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1830 SCENIC DR # B
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City | FESTUS
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State | MO
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Zip | 63028-1158
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Country | US
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Telephone | 636-937-6229
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Fax | 636-717-0015
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Provider Business Mailing Address
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Address Line | 1830 SCENIC DR # B
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City | FESTUS
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State | MO
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Zip | 63028-1158
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Country | US
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Telephone | 636-937-6229
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Fax | 636-717-0015
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MEGAN BRAWLEY
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Credential | MSW, LCSW
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Telephone | 636-937-6229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2001000521
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License Number State | MO
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