Organization
THE FAMILY MENTAL HEALTH AND FAMILY SERVICES LLC
Active
Organization
THE FAMILY MENTAL HEALTH AND FAMILY SERVICES LLC
Active
Other names
The Family
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE PEGUES (OWNER)
(252) 202-1182
Entity
Organization
Contact information
Practice address
711 BRENTWINDS LN APT 208, SPRING LAKE, NC 28390-2190
(252) 202-1182
Mailing address
711 BRENTWINDS LN APT 208, SPRING LAKE, NC 28390-2190
(252) 202-1182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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