| Family Intervention & Prevention Services, Llc | |
|
211 Court St Louisburg NC 27549-2565 | |
| (919) 340-1626 | |
| Not Available |
| Full Name | Family Intervention & Prevention Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 211 Court St, Louisburg, North Carolina |
| Authorized Official Name and Position | Tanya Victoria Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9193401626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Intervention & Prevention Services, Llc 211 Court St Louisburg NC 27549-2565 Ph: (919) 340-1626 | Family Intervention & Prevention Services, Llc 211 Court St Louisburg NC 27549-2565 Ph: (919) 340-1626 |
| NPI Number | 1760675045 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760675045 | NPI | - | NPPES |
| 6107400 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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