# FAMILY SUPPORT SERVICES INC.

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

## Provider details

- **NPI number:** 1780690420
- **Authorized official:** BRIAN A NYSTROM MSW, LICSW (PRESIDENT/CEO)
- **Authorized official phone:** (651) 628-4993

## Contact information

- **Practice address:** 1900 SILVER LAKE RD NW, SUITE 115, NEW BRIGHTON, MN 55112-1786
- **Practice address phone:** (651) 628-4993
- **Practice address fax:** (651) 379-1772
- **Mailing address:** 1900 SILVER LAKE RD NW, SUITE 115, NEW BRIGHTON, MN 55112-1786
- **Mailing address phone:** (651) 628-4993
- **Mailing address fax:** (651) 379-1772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 09/11/2025