MEDICARE: FAMILY FIRST THERAPY 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1588361109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FIRST THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	2040 W MAIN ST STE 214
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-2446
Country	:	US
Telephone Number	:	605-786-7797
Fax Number	:	605-443-7070

Provider Business Practice Location Address
First Line	:	2040 W MAIN ST STE 214
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-2446
Country	:	US
Telephone Number	:	605-786-7797
Fax Number	:	605-443-7070

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	DEBRA ANN HUGHES
Credential	:	CLSW
Telephone Number	:	605-786-7797

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	01/29/2025

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