Provider Demographics
NPI:1447828272
Name:FAMILY MATTERS OF CNY, LLC
Entity type:Organization
Organization Name:FAMILY MATTERS OF CNY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARRIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAMM STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:315-312-0118
Mailing Address - Street 1:193 W 1ST ST STE 16
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-2586
Mailing Address - Country:US
Mailing Address - Phone:315-312-0118
Mailing Address - Fax:
Practice Address - Street 1:193 W 1ST ST STE 16
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2586
Practice Address - Country:US
Practice Address - Phone:315-312-0118
Practice Address - Fax:929-274-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty