Organization
FAMILY MATTERS INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENEVA L. OSAWE LCSW,LMFT (DIRECTOR)
(219) 980-4330
Entity
Organization
Contact information
Practice address
5825 BROADWAY, SUITE D, MERRILLVILLE, IN 46410-2687
(219) 980-4330
(219) 980-9119
Mailing address
5825 BROADWAY, SUITE D, MERRILLVILLE, IN 46410-2687
(219) 980-4330
(219) 980-9119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000001
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9001137
BLUE CROSS & SHIELD IL
IN
Enumeration date
10/17/2006
Last updated
08/22/2020
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