=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992698286
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACTS FOUNDATION HOUSE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2025
-----------------------------------------------------
Last Update Date | 06/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3200 1ST AVE
-----------------------------------------------------
City | RICHMOND
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23222-3225
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-214-6460
-----------------------------------------------------
Fax | 804-800-4600
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 103 E WILLIAMSBURG RD
-----------------------------------------------------
City | SANDSTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23150-1675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-214-6460
-----------------------------------------------------
Fax | 804-800-4060
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | BRITTANY CHANDLER
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 804-715-2410
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------