| Kingsville Family Services | |
|
201 N Main St Farmville VA 23901-1300 | |
| (434) 395-1079 | |
| Not Available |
| Full Name | Kingsville Family Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 N Main St, Farmville, Virginia |
| Authorized Official Name and Position | Javor Johnson (OWNER) |
| Authorized Official Contact | 4342342410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsville Family Services 201 N Main St Farmville VA 23901-1300 Ph: (434) 395-1079 | Kingsville Family Services 201 N Main St Farmville VA 23901-1300 Ph: (434) 395-1079 |
| NPI Number | 1134690449 |
|---|---|
| Provider Enumeration Date | 12/12/2018 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134690449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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