# FAMILY COUNSELING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FCC's Family Practice Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508237926
- **Authorized official:** MR. LARRY SHAWN SANDO MSW, MBA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (573) 888-5925

## Contact information

- **Practice address:** 3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
- **Practice address phone:** (573) 686-1200
- **Practice address fax:** (573) 778-9492
- **Mailing address:** PO BOX 71, 925 STATE ROUTE V V, KENNETT, MO 63857-0071
- **Mailing address phone:** (573) 888-5925
- **Mailing address fax:** (573) 888-9365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/12/2015