MEDICARE: VIRGINIA FAMILY WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	251S00000X	Community/Behavioral Health Agency
3	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588307540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA FAMILY WELLNESS

Provider Business Mailing Address
First Line	:	10800 MIDLOTHIAN TPKE STE 128
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4700
Country	:	US
Telephone Number	:	804-476-2668
Fax Number	:	804-302-4440

Provider Business Practice Location Address
First Line	:	10800 MIDLOTHIAN TPKE STE 128
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4700
Country	:	US
Telephone Number	:	804-476-2668
Fax Number	:	804-302-4440

Authorized Official
Title or Position	:	OWNER
Name	:	FELECIA WILSON
Credential	:
Telephone Number	:	804-276-4668

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	12/24/2025

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Directions to “VIRGINIA FAMILY WELLNESS ” Practice Location

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