Provider Demographics
NPI:1346402864
Name:FAMILY COUNSELING SERVICES
Entity type:Organization
Organization Name:FAMILY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ENDY
Authorized Official - Suffix:
Authorized Official - Credentials:DSW
Authorized Official - Phone:801-399-1600
Mailing Address - Street 1:3518 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-1034
Mailing Address - Country:US
Mailing Address - Phone:801-399-1600
Mailing Address - Fax:
Practice Address - Street 1:3518 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-1034
Practice Address - Country:US
Practice Address - Phone:801-399-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT375752-6004251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health