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NPI Code Detail

MEDICARE: FAMILY 1ST PARTNERSHIPS, INC.

MEDICARE: FAMILY 1ST PARTNERSHIPS, INC.
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
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YP2500XProfessional Counselor
4251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265769178
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY 1ST PARTNERSHIPS, INC.
Provider Business Mailing Address
First Line : 800 BRIAR CREEK RD
Second Line : SUITE AA 412
City : CHARLOTTE
State : NC
Zip : 28205-6903
Country : US
Telephone Number : 704-631-9937
Fax Number : 704-248-7988
Provider Business Practice Location Address
First Line : 800 BRIAR CREEK RD
Second Line : SUITE AA 412
City : CHARLOTTE
State : NC
Zip : 28205-6903
Country : US
Telephone Number : 704-631-9937
Fax Number : 866-311-4280
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. KESHIA DUNN ROSS
Credential : LPC, LCAS, NCC, CSI
Telephone Number : 704-619-9290
Provider Enumeration Date : 11/13/2009
Last Update Date : 04/05/2010

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Directions to “FAMILY 1ST PARTNERSHIPS, INC. ” Practice Location

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