=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578855276
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE VILLAGE CHILDREN AND FAMILY SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2011
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7307 ALVIS PL
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23231-6887
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-449-8040
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7305 HANCOCK VILLAGE DR STE 315
-----------------------------------------------------
City | CHESTERFIELD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23832-2771
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-901-3458
-----------------------------------------------------
Fax | 866-781-9646
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROGRAM DIRECTOR
-----------------------------------------------------
Name | LAKESHA BROUSSARD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-901-3458
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 1595-03-001
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------