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	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	MH-1965	MD

General Provider Information

NPI Number	:	1396293205
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 N. FEVRY
Credential	:	BA
Telephone Number	:	301-270-3200

Provider Enumeration Date	:	09/20/2016
Last Update Date	:	08/12/2022

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