# FAMILY LIFE COUNSELING & PSYCHIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669731246
- **Authorized official:** MR. JOHN COCHRAN (CFO)
- **Authorized official phone:** (419) 774-9969

## Contact information

- **Practice address:** 151 MARION AVE, MANSFIELD, OH 44903-2223
- **Practice address phone:** (419) 774-9969
- **Practice address fax:** (419) 756-5642
- **Mailing address:** 151 MARION AVE, MANSFIELD, OH 44903-2223
- **Mailing address phone:** (419) 774-9969
- **Mailing address fax:** (419) 756-5642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2012
- **Last updated:** 05/16/2012