Provider Demographics
NPI:1679771042
Name:FAMILYFIRST COUNSELING & BEHAVIORAL HEALTHY SERVICES, INC.
Entity type:Organization
Organization Name:FAMILYFIRST COUNSELING & BEHAVIORAL HEALTHY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BEAUMONT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:928-532-1498
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85929-0419
Mailing Address - Country:US
Mailing Address - Phone:928-532-1498
Mailing Address - Fax:928-532-5714
Practice Address - Street 1:145 N WHITE MOUNTAIN RD
Practice Address - Street 2:SUITE D
Practice Address - City:SHOW LOW
Practice Address - State:AZ
Practice Address - Zip Code:85901-5232
Practice Address - Country:US
Practice Address - Phone:928-532-1498
Practice Address - Fax:382-532-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health