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General NPI Number Information
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NPI Number | 1851882757
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Entity Type | Organization
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Legal Business Name | FAMILY THERAPEUTIC SERVICES AND ASSESSMENTS INC.
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 114 SOUTHFIELD DR
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City | BRASSTOWN
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State | NC
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Zip | 28902-0317
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Country | US
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Telephone | 772-529-0372
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Fax |
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Provider Business Mailing Address
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Address Line | 114 SOUTHFIELD DR
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City | BRASSTOWN
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State | NC
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Zip | 28902-0317
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Country | US
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Telephone | 772-529-0372
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. STACEY HELLOW
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Credential | PHD, LCSW
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Telephone | 772-529-0372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | SW10356
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License Number State | FL
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