Provider Demographics
NPI:1396980652
Name:FAMILY GUIDANCE CENTER OF ST.JOSEPH
Entity type:Organization
Organization Name:FAMILY GUIDANCE CENTER OF ST.JOSEPH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARROLL
Authorized Official - Middle Name:
Authorized Official - Last Name:KROPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-236-2395
Mailing Address - Street 1:724 N 22ND ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2604
Mailing Address - Country:US
Mailing Address - Phone:816-364-1501
Mailing Address - Fax:
Practice Address - Street 1:1322 N 36TH ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2357
Practice Address - Country:US
Practice Address - Phone:816-364-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILY GUIDANCE CENTER OF ST.. JOSEPH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty