MEDICARE: FAMILY & CHILDREN'S CONSULTANTS, INC.

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		OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1093726010	OTHER	OK	NPI
2	1306850540	OTHER	OK	NPI

General Provider Information

NPI Number	:	1891837274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY & CHILDREN'S CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	3516 NW 50TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5630
Country	:	US
Telephone Number	:	405-943-7500
Fax Number	:	405-943-7501

Provider Business Practice Location Address
First Line	:	3516 NW 50TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5630
Country	:	US
Telephone Number	:	405-943-7500
Fax Number	:	405-943-7501

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. MARC LAWERENCE CHARNEY
Credential	:	PHD, LMFT, LPC
Telephone Number	:	405-943-7500

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	08/22/2020

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