| Institute For Family Systems Support | |
|
308 West Collins Ave Lake Park GA 31636 | |
| (229) 559-8597 | |
| (229) 559-7760 |
| Full Name | Institute For Family Systems Support |
|---|---|
| Speciality | Social Worker |
| Location | 308 West Collins Ave, Lake Park, Georgia |
| Authorized Official Name and Position | Edward E Sanders (DIRECTOR) |
| Authorized Official Contact | 2295598597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Family Systems Support 308 West Collins Ave Lake Park GA 31636 Ph: (229) 559-8597 | Institute For Family Systems Support 308 West Collins Ave Lake Park GA 31636 Ph: (229) 559-8597 |
| NPI Number | 1649482795 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649482795 | NPI | - | NPPES |
| 2607 | Other | GA | OCCUPATIONAL REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LMSW000179 (Georgia) | Primary |
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