Provider Demographics
NPI:1780810846
Name:FAMILY SERVICE OF NORTHERN KENTUCKY, INC
Entity type:Organization
Organization Name:FAMILY SERVICE OF NORTHERN KENTUCKY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:T
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:513-381-6300
Mailing Address - Street 1:3730 GLENWAY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45205-1354
Mailing Address - Country:US
Mailing Address - Phone:513-381-6300
Mailing Address - Fax:513-345-8551
Practice Address - Street 1:434 SCOTT ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2342
Practice Address - Country:US
Practice Address - Phone:513-381-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare