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General NPI Number Information
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NPI Number | 1396958476
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Entity Type | Organization
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Legal Business Name | FAMILY TRANSITION SUPPORT SERVICES INC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 652A WHITEHEAD RD
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648
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Country | US
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Telephone | 609-394-0299
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Fax | 215-369-0737
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | TITUSVILLE
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State | NJ
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Zip | 08560
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT EXEC DIRECTOR
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Name | MS. JUNE ANN DAVIES
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Credential | BS CSW
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Telephone | 609-394-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 37PL00330900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 37PC00162100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 44SL05242800
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License Number State | NY
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