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General NPI Number Information
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NPI Number | 1396293205
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Entity Type | Organization
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Legal Business Name | FAMILY BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 1835 UNIVERSITY BLVD E STE 316
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City | HYATTSVILLE
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State | MD
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Zip | 20783-4672
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Country | US
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Telephone | 301-270-3200
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Fax | 301-270-4600
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Provider Business Mailing Address
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Address Line | 1835 UNIVERSITY BLVD E STE 316
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City | HYATTSVILLE
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State | MD
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Zip | 20783-4672
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Country | US
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Telephone | 301-270-3200
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Fax | 301-270-4600
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Authorized Official
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Title or Position | CEO
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Name | MRS. NADEGE N. FEVRY
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Credential | BA
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Telephone | 301-270-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH-1965
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License Number State | MD
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