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Organization
FAMILY BEHAVIORAL HEALTH COUNSELING SERVICES PLLC
Active
Organization
FAMILY BEHAVIORAL HEALTH COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BANGURA (ADMINISTRATOR)
(623) 216-5759
Entity
Organization
Contact information
Practice address
1132 28TH AVE S STE 101B, MOORHEAD, MN 56560-4420
(623) 216-5759
Mailing address
302 US-75, MOORHEAD, MN 56560
(623) 216-5759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/10/2024
Last updated
06/18/2026
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