=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780755231
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FAMILY SOLUTIONS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 DAVIS ST
-----------------------------------------------------
City | PORTSMOUTH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23702-3021
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-238-2038
-----------------------------------------------------
Fax | 757-238-2038
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9016 RIVER CRES
-----------------------------------------------------
City | SUFFOLK
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23433-1304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-238-2038
-----------------------------------------------------
Fax | 757-238-2038
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. STACY FLINT GRIMES
-----------------------------------------------------
Credential | L.C.S.W.
-----------------------------------------------------
Telephone | 757-238-2038
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320900000X
-----------------------------------------------------
Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
License Number | 650-14-001
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 320900000X
-----------------------------------------------------
Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
-----------------------------------------------------
License Number | 65014001
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 2084P0804X
-----------------------------------------------------
Taxonomy Name | Child & Adolescent Psychiatry Physician
-----------------------------------------------------
License Number | 51223
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------