OrganizationFamily Ties Counseling And Coaching LlcCounselorBehavioral Health & Social Service ProvidersPractice Address3420 E Shea Blvd, Phoenix, AZ 85028-3345(602) 730-4105PECOS EnrollmentBased on the most recent information from CMS, provider Family Ties Counseling And Coaching Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1295305175Provider TypeOrganizationFull NameFamily Ties Counseling And Coaching LlcSubpartNoEnumeration Date7/1/2021Last Updated7/1/2021Contact InformationPractice LocationPractice Address3420 E Shea Blvd, Phoenix, AZ 85028-3345Phone(602) 730-4105FaxUnlisted FaxMailing LocationMailing Address3420 E Shea Blvd, Phoenix, AZ 85028-3345PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameFord, Heather Marie (Owner/Clinician)Phone(602) 730-4105Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer