Organization
FAMILY PRACTICE & COUNSELING SERVICES NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY NICHOLS (CEO)
(267) 597-3604
Entity
Organization
Contact information
Practice address
1400 W OLNEY AVE, PHILADELPHIA, PA 19141-2316
(215) 276-5258
Mailing address
4700 WISSAHICKON AVE STE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3604
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
04/13/2026
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