DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FAMILY SERVICE AND CHILDRENS AID

MEDICARE: FAMILY SERVICE AND CHILDRENS AID
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
1251S00000XCommunity/Behavioral Health AgencyMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1138213OTHERMICARE CHOICES
2398186150OTHERMITRICARE DR S ONLY
30056OTHERMIHEALTH PLAN OF MI
4FAMIL-6361OTHERMICOMPCARE
5138213OTHERMIPREFFERED CHOICES
6260078000OTHERMIMAGELLAN EAP CAROL ONLY
7FC-ADR-BF-122763OTHERMIGREAT LAKES
81105443OTHERMICONNECTICUT GENERAL
9M#38002OTHERMIM-CARE
10750910682OTHERMIBLUE CROSS BLUE SHIELD
11P50798OTHERMIGREAT LAKES

General Provider Information

NPI Number : 1699861609
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE AND CHILDRENS AID
Provider Business Mailing Address
First Line : 330 W MICHIGAN AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-2121
Country : US
Telephone Number : 517-787-7920
Fax Number : 517-787-2440
Provider Business Practice Location Address
First Line : 330 W MICHIGAN AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-2121
Country : US
Telephone Number : 517-787-7920
Fax Number : 517-787-2440
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : TERESA ANN PROCTOR
Credential :
Telephone Number : 517-787-7920
Provider Enumeration Date : 10/05/2006
Last Update Date : 08/10/2023

Similar Medicare Providers

1639723653 — SYDNEY MICHELLE KAY LMSW
Practice Location Address:
330 W MICHIGAN AVE
JACKSON, MI
49201-2121
Practice Phone: 517-787-7920
Practice Fax:
1104952522 — MR. THOMAS JAMES BURKE MA, LMSW, CAC-I
Practice Location Address:
330 W MICHIGAN AVE
JACKSON, MI
49201-2121
Practice Phone: 517-787-7920
Practice Fax: 517-787-2440
1578690871 — MS. JUDITH H JOVE LMSW
Practice Location Address:
330 W MICHIGAN AVE
JACKSON, MI
49201-2121
Practice Phone: 517-787-7920
Practice Fax: 517-787-2440
1972632156 — MR. ROBERT RODNEY POWELL MA, LPC
Practice Location Address:
330 W MICHIGAN AVE
JACKSON, MI
49201-2121
Practice Phone: 517-787-7920
Practice Fax:
1982734562 — COLLEEN KRUSKY LMSW
Practice Location Address:
330 W MICHIGAN AVE
JACKSON, MI
49201-2121
Practice Phone: 517-787-7920
Practice Fax: 517-787-2440
1770614018 — ANGELA PENSYL LMSW
Practice Location Address:
330 W MICHIGAN AVE
JACKSON, MI
49201-2121
Practice Phone: 517-787-7920
Practice Fax: 517-787-2440

Directions to “FAMILY SERVICE AND CHILDRENS AID ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.