Provider Demographics
NPI:1124322896
Name:FAMILY PRESERVATION SERVICES, INC.
Entity type:Organization
Organization Name:FAMILY PRESERVATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TARGETED CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHAWNA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LAGUERRE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:941-763-0244
Mailing Address - Street 1:1748 INDEPENDENCE BLVD
Mailing Address - Street 2:SUITE D-1
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-2122
Mailing Address - Country:US
Mailing Address - Phone:941-359-1927
Mailing Address - Fax:
Practice Address - Street 1:1748 INDEPENDENCE BLVD
Practice Address - Street 2:SUITE D-1
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-2122
Practice Address - Country:US
Practice Address - Phone:941-359-1927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management