Healthcare Provider Details

I. General information

NPI: 1063989234
Provider Name (Legal Business Name): FAMILIES FIRST INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 05/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BAKER RD STE 112
VIRGINIA BEACH VA
23462-1077
US

IV. Provider business mailing address

700 BAKER RD STE 112
VIRGINIA BEACH VA
23462-1077
US

V. Phone/Fax

Practice location:
  • Phone: 757-965-5450
  • Fax: 757-299-7890
Mailing address:
  • Phone: 757-965-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES CARRINGTON
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 757-965-5450