Healthcare Provider Details

I. General information

NPI: 1386357523
Provider Name (Legal Business Name): FAMILY OF CHOICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 GEORGE WASHINGTON MEMORIAL HWY
HAYES VA
23072-3429
US

IV. Provider business mailing address

2924 GEORGE WASHINGTON MEMORIAL HWY
HAYES VA
23072-3429
US

V. Phone/Fax

Practice location:
  • Phone: 804-684-1231
  • Fax: 757-699-5455
Mailing address:
  • Phone: 757-870-7763
  • Fax: 757-699-5455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE CARSON
Title or Position: OWNER
Credential: LPC, LMFT
Phone: 757-870-7763