MEDICARE: FAMILY BEHAVIORAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	104100000X	Social Worker
4	1041C0700X	Clinical Social Worker
5	106H00000X	Marriage & Family Therapist
6	101YM0800X	Mental Health Counselor

Other Identifiers

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

General Provider Information

NPI Number	:	1295747285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY BEHAVIORAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	1835 UNIVERSITY BLVD E STE 316
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4672
Country	:	US
Telephone Number	:	301-270-3200
Fax Number	:	301-270-4600

Provider Business Practice Location Address
First Line	:	1835 UNIVERSITY BLVD E STE 316
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4672
Country	:	US
Telephone Number	:	301-270-3200
Fax Number	:	301-270-4600

Authorized Official
Title or Position	:	CEO
Name	:	MRS. NADEGE NICOLE FEVRY
Credential	:
Telephone Number	:	301-270-3200

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	08/12/2022

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Directions to “FAMILY BEHAVIORAL SERVICES, LLC ” Practice Location

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