| Family Support Services, Llc | |
|
1608 4th Ave Se Decatur AL 35601-4904 | |
| (256) 340-9233 | |
| (256) 796-1776 |
| Full Name | Family Support Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1608 4th Ave Se, Decatur, Alabama |
| Authorized Official Name and Position | Brandy Woods Holmes (PRESIDENT) |
| Authorized Official Contact | 2563409233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support Services, Llc 1608 4th Ave Se Decatur AL 35601-4904 Ph: (256) 340-9233 | Family Support Services, Llc 1608 4th Ave Se Decatur AL 35601-4904 Ph: (256) 340-9233 |
| NPI Number | 1023142189 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8224133061 |
|---|---|
| Medicare Enrollment ID | O20070423000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023142189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0793-2015C (Alabama) | Primary |
| Provider Name | Terri B Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124171137 PECOS PAC ID: 6406951243 Enrollment ID: I20070423000597 |
| Provider Name | Whitney Amber George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851864771 PECOS PAC ID: 4587053970 Enrollment ID: I20211104002206 |
| Provider Name | Kimberly Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699318543 PECOS PAC ID: 4385013945 Enrollment ID: I20221205000558 |
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