Provider Demographics
NPI:1861073421
Name:FAMILY TIES COUNSELING, LLC
Entity type:Organization
Organization Name:FAMILY TIES COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSBEE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:985-640-0773
Mailing Address - Street 1:221 GUM BAYOU LN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-1671
Mailing Address - Country:US
Mailing Address - Phone:985-640-0773
Mailing Address - Fax:985-273-5088
Practice Address - Street 1:59015 AMBER ST STE A3
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5398
Practice Address - Country:US
Practice Address - Phone:198-564-0077
Practice Address - Fax:985-273-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty