Provider Demographics
NPI:1649657354
Name:GENERATIONS FAMILY COUNSELING, INC
Entity type:Organization
Organization Name:GENERATIONS FAMILY COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-231-7103
Mailing Address - Street 1:640B EARTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-4738
Mailing Address - Country:US
Mailing Address - Phone:918-231-7103
Mailing Address - Fax:
Practice Address - Street 1:1216 E KENOSHA ST
Practice Address - Street 2:#157
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2007
Practice Address - Country:US
Practice Address - Phone:918-630-3001
Practice Address - Fax:918-283-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management