Organization
FAMILY SUPPORT GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA SIMMONS (DIRECTOR)
(919) 539-4212
Entity
Organization
Contact information
Practice address
139 BOULDER VIEW PKWY, DALLAS, GA 30157-2311
(919) 539-4212
(678) 609-5608
Mailing address
5917 WESSEL WAY, RALEIGH, NC 27610-4260
(919) 539-4212
(678) 609-5608
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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