Organization
FAMILY FIRST MENTAL HEALTH SERVICES CO
Active
Other names
Family First Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDIE JACKSON (EXECUTIVE ASSISTANT)
(708) 852-5251
Entity
Organization
Contact information
Practice address
1010 LAKE ST STE 200, OAK PARK, IL 60301-1132
(704) 657-4423
Mailing address
16650 COBBLEVIEW LN, HUNTERSVILLE, NC 28078-5643
(704) 657-4423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
163W00000X
Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WG0000X
General Practice Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/05/2023
Last updated
10/24/2023
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