Healthcare Provider Details

I. General information

NPI: 1457727158
Provider Name (Legal Business Name): BENEVOLENT FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 DICKENS RD
RICHMOND VA
23230-2019
US

IV. Provider business mailing address

5606A VIRGINIA BEACH BLVD SUITE 101 & 102
VIRGINIA BEACH VA
23462-5684
US

V. Phone/Fax

Practice location:
  • Phone: 804-206-3105
  • Fax:
Mailing address:
  • Phone: 757-227-4644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number2017
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STANDICE RUMPH MELVIN
Title or Position: CEO
Credential: LPC
Phone: 757-755-3253