NPI Code Details Logo

NPI 1326997644

NPI 1326997644 : FAMILY AND ADOLESCENT SERVICES : RICHMOND, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326997644
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FAMILY AND ADOLESCENT SERVICES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/28/2026
-----------------------------------------------------
    Last Update Date     |    01/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1628 N 27TH ST 
-----------------------------------------------------
    City                 |    RICHMOND
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23223-4564
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    804-521-4050
-----------------------------------------------------
    Fax                  |    804-521-4048
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1628 N 27TH ST 
-----------------------------------------------------
    City                 |    RICHMOND
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    23223-4564
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    804-521-4050
-----------------------------------------------------
    Fax                  |    804-521-4048
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    ADMINISTRATIVE
-----------------------------------------------------
    Name                 |     MARCIA F HATHAWAY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    804-521-4050
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.