Family Preservation Services Of North Carolina, Inc

Community/Behavioral Health

Agencies

3824 Barrett Dr, Suite200, Raleigh, NC 27609-7220

PECOS Enrollment

Based on the most recent information from CMS, provider Family Preservation Services Of North Carolina, Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790938801
Provider Type
Organization
Full Name
Family Preservation Services Of North Carolina, Inc

Subpart
Yes
Enumeration Date
11/3/2008
Last Updated
9/11/2014

Contact Information

Practice Location

3824 Barrett Dr, Suite200, Raleigh, NC 27609-7220

(704) 344-0491

(704) 233-0493

Mailing Location

PO Box 759194, Baltimore, MD 21275-9194

(710) 540-6085

(710) 540-6447

Authorized Official

Little, Miranda Kaye (Nc Qi & Training Dir)

(704) 344-0491

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103T00000X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TA0400X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TB0200X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TC0700X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TC1900X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TC2200X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TS0200X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 8302457	Description Medicaid	Issuer Unlisted North Carolina

Family Preservation Services Of North Carolina, Inc

PECOS Enrollment

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