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General NPI Number Information
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NPI Number | 1881468965
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Entity Type | Organization
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Legal Business Name | SAINT FRANCIS FCT SERVICES, INC.
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 495 ALBION AVE
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City | CINCINNATI
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State | OH
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Zip | 45246-4604
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Country | US
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Telephone | 785-825-0541
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W OTIS AVE
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City | SALINA
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State | KS
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Zip | 67401-8713
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Country | US
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Telephone | 785-825-0541
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT SPECIALIST
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Name | SUSAN CHRISTENSON
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Credential |
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Telephone | 979-492-2795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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