| Family Solutions Services, Inc. | |
|
4290 Jay Ave Orange City IA 51041-7584 | |
| (712) 898-1245 | |
| (712) 239-1136 |
| Full Name | Family Solutions Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4290 Jay Ave, Orange City, Iowa |
| Authorized Official Name and Position | Nichole Renae Hanks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7128981245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Solutions Services, Inc. 4290 Jay Ave Orange City IA 51041-7584 Ph: (712) 898-1245 | Family Solutions Services, Inc. 4290 Jay Ave Orange City IA 51041-7584 Ph: (712) 898-1245 |
| NPI Number | 1891870374 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951479591 |
|---|---|
| Medicare Enrollment ID | O20081008000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891870374 | NPI | - | NPPES |
| 0494716 | Medicaid | IA | |
| 1014993 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2984003 (Iowa) | Primary |
| Provider Name | Kimberly J Devries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003877291 PECOS PAC ID: 6002121787 Enrollment ID: I20150811004430 |
| Provider Name | Doris A Wallenburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902109994 PECOS PAC ID: 4688989262 Enrollment ID: I20150811004624 |
| Provider Name | Michelle R Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093146599 PECOS PAC ID: 4183939770 Enrollment ID: I20150811004795 |
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