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General NPI Number Information
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NPI Number | 1376623660
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 GREYSTONE DR SUITE #8
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City | LYNCHBURG
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State | VA
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Zip | 24502-4344
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Country | US
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Telephone | 434-239-6057
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Fax | 434-239-6058
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Provider Business Mailing Address
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Address Line | 25 GREYSTONE DR SUITE #8
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City | LYNCHBURG
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State | VA
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Zip | 24502-4344
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Country | US
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Telephone | 434-239-6057
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Fax | 434-239-6058
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Authorized Official
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Title or Position | DIRECTOR
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Name | JUDI LARIVIERE
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Credential |
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Telephone | 434-239-6057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 289
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License Number State | VA
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