# EXTENDED FAMILY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Extended Family Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356861314
- **Authorized official:** MS. MARY ELLEN BOUCHER LICSW (COO)
- **Authorized official phone:** (603) 430-6863

## Contact information

- **Practice address:** 1000 MARKET ST UNIT 1, PORTSMOUTH, NH 03801-3358
- **Practice address phone:** (603) 430-6863
- **Mailing address:** 1000 MARKET ST., BUILDING 1 SUITE 104, PORTSMOUTH, NH 03801-3358
- **Mailing address phone:** (603) 430-6863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 07/21/2022