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Organization

FAMILY CARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THANA SINGARAJAH LPCP (EXECUTIVE DIRECTOR)
(208) 529-8832
Entity
Organization

Contact information

Practice address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ID
101YP2500X
Professional Counselor
ID
103T00000X
Psychologist
ID
103TC0700X
Clinical Psychologist
ID
1041C0700X
Clinical Social Worker
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010006240
BLUE SHIELD
ID
01
8333-7
BLUE CROSS
ID
Enumeration date
07/13/2006
Last updated
09/11/2025
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