Provider Demographics
NPI:1144253592
Name:FAMILY RESOLUTION SERVICES, INC.
Entity type:Organization
Organization Name:FAMILY RESOLUTION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-542-0300
Mailing Address - Street 1:2627 NE 203RD ST
Mailing Address - Street 2:214
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1900
Mailing Address - Country:US
Mailing Address - Phone:305-542-0300
Mailing Address - Fax:305-861-1099
Practice Address - Street 1:2627 NE 203RD ST
Practice Address - Street 2:214
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1900
Practice Address - Country:US
Practice Address - Phone:305-542-0300
Practice Address - Fax:305-861-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW73101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ099CZMedicare ID - Type UnspecifiedADRIA IRENE SILVERMAN
FLK9741Medicare ID - Type UnspecifiedFAMILY RESOLUTION SERVICE
FL1912941725Medicare UPIN