Organization
FAMILY FIRST COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHIKO K DOWDY BSW (OWNER)
(704) 364-3989
Entity
Organization
Contact information
Practice address
3705 LATROBE DR, SUITE 340, CHARLOTTE, NC 28211-4824
(704) 364-3989
(704) 364-3974
Mailing address
3705 LATROBE DR, SUITE 340, CHARLOTTE, NC 28211-4824
(704) 364-3989
(704) 364-3974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006232
—
NC
Enumeration date
09/28/2007
Last updated
02/02/2023
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