MEDICARE: FAMILY & CHILDREN SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0850X	Adult Mental Health Clinic/Center

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	:	1609930130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY & CHILDREN SERVICES

Provider Business Mailing Address
First Line	:	778 COLUMBIA AVE W
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-3028
Country	:	US
Telephone Number	:	269-965-3247
Fax Number	:	269-966-4135

Provider Business Practice Location Address
First Line	:	778 COLUMBIA AVE W
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-3028
Country	:	US
Telephone Number	:	269-965-3247
Fax Number	:	269-966-4135

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DIANE MARQUESS
Credential	:	LPC
Telephone Number	:	269-344-0202

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	12/02/2021

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Directions to “FAMILY & CHILDREN SERVICES ” Practice Location

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