Healthcare Provider Details

I. General information

NPI: 1568035061
Provider Name (Legal Business Name): FAMILY FOCUS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 SUMMIT AVE STE 300
RICHMOND VA
23230-4339
US

IV. Provider business mailing address

9367 SPRINGMOUNT TER
CHESTERFIELD VA
23832-9267
US

V. Phone/Fax

Practice location:
  • Phone: 888-436-8836
  • Fax: 860-955-1611
Mailing address:
  • Phone: 888-436-8836
  • Fax: 860-955-1611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE RENEE SPEARMAN-CAMBLARD
Title or Position: CLINICAL DIRECTOR, MANAGER
Credential: PSY.D.
Phone: 203-815-4043