BLACK FAMILY AND CHILD SERVICES, INC. (NPI# 1053362368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362368 |
| Entity Type | Organization |
| Organization Name | BLACK FAMILY AND CHILD SERVICES, INC. |
| Practice Address |
1522 E Southern Ave Phoenix AZ 85040-3543 |
| Practice Telephone | 6022431773 |
| Practice Fax Number | 6022431483 |
| Mailing Telephone | 6022431773 |
| Mailing Fax Number | 6022431483 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-01-17 |
| Authorized Official Name | MS. MARY M BLACK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6022431498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | BH 512 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962680041 | Black Family and Child Services, Inc. | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2008-01-31 |
| Street Address |
1522 E SOUTHERN AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972975522 | Black Family and Child Services Inc | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2015-10-22 |
| 1235501883 | Black Family and Child Services Inc | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2015-10-22 |
| 1871965426 | Black Family and Child Services Inc | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2015-10-22 |
| 1962680041 | Black Family and Child Services, Inc. | Community/Behavioral Health | 1522 E Southern Ave, Phoenix, AZ 85040-3543 | 2008-01-31 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
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|---|---|---|---|---|
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.