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Family Practice & Counseling Services Network, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Philadelphia, PA. Organization (NPI-2).

NPI number1619708898
StatusActive
Last updated in NPPESJul 21, 2026

Details

NPI
1619708898
Entity type
Organization (NPI-2)
Legal business name
Family Practice & Counseling Services Network, INC.
Organization subpart
No
Enumeration date
Aug 9, 2024
Certification date
Jul 21, 2026
Last updated
Jul 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

1400 W Olney Ave
Philadelphia, PA 19141-2316

Phone 215-276-5258

Mailing address

4700 Wissahickon Ave Ste 118
Philadelphia, PA 19144-4248

Phone 267-597-3604

Authorized official

Emily Nichols
Ceo
2675973604

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