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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