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General NPI Number Information
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NPI Number | 1730690694
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Entity Type | Organization
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Legal Business Name | FAMILIES UNITED SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 249 CENTRAL PARK AVE STE 300-194
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3099
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Country | US
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Telephone | 757-201-9832
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Fax | 757-913-1366
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Provider Business Mailing Address
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Address Line | 249 CENTRAL PARK AVE STE 300-194
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3099
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Country | US
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Telephone | 757-201-9832
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Fax | 757-913-1366
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Authorized Official
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Title or Position | CEO
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Name | TAMMY COPELAND
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Credential |
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Telephone | 347-228-2665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2590-03-001
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License Number State | VA
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