| Family Support Services Inc. | |
|
1900 Silver Lake Rd Nw Suite 115 New Brighton MN 55112-1786 | |
| (651) 628-4993 | |
| (651) 379-1772 |
| Full Name | Family Support Services Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1900 Silver Lake Rd Nw, New Brighton, Minnesota |
| Authorized Official Name and Position | Brian A Nystrom (PRESIDENT/CEO) |
| Authorized Official Contact | 6516284993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support Services Inc. 1900 Silver Lake Rd Nw Suite 115 New Brighton MN 55112-1786 Ph: (651) 628-4993 | Family Support Services Inc. 1900 Silver Lake Rd Nw Suite 115 New Brighton MN 55112-1786 Ph: (651) 628-4993 |
| NPI Number | 1780690420 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780690420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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