Organization
FONSECA'S FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERNISHA A FONSECA (CEO)
(919) 683-1500
Entity
Organization
Contact information
Practice address
1111 FAYETTEVILLE ST, DURHAM, NC 27701-3918
(919) 683-1500
(919) 683-1004
Mailing address
1111 FAYETTEVILLE ST, DURHAM, NC 27701-3918
(919) 683-1500
(919) 683-1004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
01/04/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up