Provider Demographics
NPI:1871320770
Name:FAMILY ALLIANCE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:FAMILY ALLIANCE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRIEDERIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:864-238-0590
Mailing Address - Street 1:25 WOODS LAKE RD STE 706
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2764
Mailing Address - Country:US
Mailing Address - Phone:864-238-0590
Mailing Address - Fax:864-252-9300
Practice Address - Street 1:25 WOODS LAKE RD STE 706
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2764
Practice Address - Country:US
Practice Address - Phone:864-238-0590
Practice Address - Fax:864-252-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health