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Organization

FAMILY FIRST SERVICES, INC

Active
Parent organization
FAMILY FIRST SERVICES, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY FIRST SERVICES, INC
Authorized official
LETESHA RENEE' GIBSON LPC (THERAPIST)
(252) 678-6000
Entity
Organization

Contact information

Practice address
111 CHARLESTON PL, ROANOKE RAPIDS, NC 27870-6125
(252) 678-6000
Mailing address
111 CHARLESTON PL, ROANOKE RAPIDS, NC 27870-6125
(252) 678-6000

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103918
NC
Enumeration date
01/14/2019
Last updated
01/14/2019
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