=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740089275
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILY COUNSELING SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2025
-----------------------------------------------------
Last Update Date | 03/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2217 PRINCESS ANNE ST STE 207-1B
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22401-3380
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-328-0020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1111 MADISON ST
-----------------------------------------------------
City | BEDFORD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24523-2127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-588-7519
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OWNER
-----------------------------------------------------
Name | MR. RICHARD JON WHITE
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 540-328-0200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------