Healthcare Provider Details

I. General information

NPI: 1588506182
Provider Name (Legal Business Name): UNITED METHODIST FAMILY SERVICES OF VA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 W BROAD ST
RICHMOND VA
23230-3914
US

IV. Provider business mailing address

3900 W BROAD ST
RICHMOND VA
23230-3914
US

V. Phone/Fax

Practice location:
  • Phone: 804-806-3636
  • Fax: 804-806-3636
Mailing address:
  • Phone: 804-806-3636
  • Fax: 804-806-3636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELA CARPENTER
Title or Position: BUSINESS OFFICE MANAGER
Credential:
Phone: 804-239-1242