Organization
VILLAGE FAMILY SERVICE CENTER
Active
Other names
The Village Family Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSIA BURKE (INSURANCE SPECIALIST)
(701) 451-4865
Entity
Organization
Contact information
Practice address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Mailing address
2701 12TH AVE S, FARGO, ND 58103-8753
(701) 451-4900
(651) 925-0057
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
316-8-1-95-97
ND
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1451299
—
ND
05
—
1451559
—
ND
05
—
1470782
—
MN
05
—
1568492353
—
MN
Enumeration date
07/04/2006
Last updated
02/26/2026
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