Healthcare Provider Details

I. General information

NPI: 1861816373
Provider Name (Legal Business Name): VIRGINIA FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4912 W MARSHALL ST STE C
RICHMOND VA
23230-3127
US

IV. Provider business mailing address

PO BOX 6843
RICHMOND VA
23230-0843
US

V. Phone/Fax

Practice location:
  • Phone: 804-313-6767
  • Fax:
Mailing address:
  • Phone: 804-313-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1501
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: RANDY REDD
Title or Position: PRESIDENT
Credential:
Phone: 804-313-6767