Provider Demographics
NPI:1588268437
Name:DEDICATED FAMILY SERVICES LLC.
Entity type:Organization
Organization Name:DEDICATED FAMILY SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:606-923-4315
Mailing Address - Street 1:1212 BATH AVE STE 390
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2696
Mailing Address - Country:US
Mailing Address - Phone:606-923-4315
Mailing Address - Fax:
Practice Address - Street 1:1212 BATH AVE STE 390
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2696
Practice Address - Country:US
Practice Address - Phone:606-923-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEDICATED FAMILY SERVICES LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty