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General NPI Number Information
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NPI Number | 1457727158
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Entity Type | Organization
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Legal Business Name | BENEVOLENT FAMILY SERVICES LLC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2211 DICKENS RD
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City | RICHMOND
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State | VA
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Zip | 23230-2019
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Country | US
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Telephone | 804-206-3105
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Fax |
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Provider Business Mailing Address
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Address Line | 5606A VIRGINIA BEACH BLVD SUITE 101 & 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-5684
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Country | US
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Telephone | 757-227-4644
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STANDICE RUMPH MELVIN
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Credential | LPC
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Telephone | 757-755-3253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 2017
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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