Family United Llc | |
11304 Jefferson Davis Hwy Apt 9c North Chesterfield VA 23237-4258 | |
(804) 748-7419 | |
Not Available |
Full Name | Family United Llc |
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Speciality | Counselor - Mental Health |
Location | 11304 Jefferson Davis Hwy Apt 9c, North Chesterfield, Virginia |
Authorized Official Name and Position | Tony Andre Davis (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8047487419 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family United Llc 11304 Jefferson Davis Hwy Apt 9c North Chesterfield VA 23237-4258 Ph: () - | Family United Llc 11304 Jefferson Davis Hwy Apt 9c North Chesterfield VA 23237-4258 Ph: (804) 748-7419 |
NPI Number | 1477074490 |
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Provider Enumeration Date | 06/29/2017 |
Last Update Date | 06/29/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477074490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Virginia) | Primary |
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