MEDICARE: FAMILY FOCUS COUNSELING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1205087236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOCUS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3824 N MERIDIAN AVE
Second Line	:	SUITE 104
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2853
Country	:	US
Telephone Number	:	405-602-0835
Fax Number	:	405-602-0936

Provider Business Practice Location Address
First Line	:	3824 N MERIDIAN AVE
Second Line	:	SUITE 104
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2853
Country	:	US
Telephone Number	:	405-602-0835
Fax Number	:	405-602-0936

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. AMY ELIZABETH SCHAEFER
Credential	:	MS, LPC, RN
Telephone Number	:	405-819-0111

Provider Enumeration Date	:	10/08/2008
Last Update Date	:	10/08/2008

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