MEDICARE: FAMILY FOCUS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	46105001	VA
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	46105001	VA
3	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164567046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOCUS, LLC

Provider Business Mailing Address
First Line	:	2807 N PARHAM RD STE 300
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4457
Country	:	US
Telephone Number	:	804-261-2090
Fax Number	:	804-261-2962

Provider Business Practice Location Address
First Line	:	2807 N PARHAM RD STE 300
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23294-4414
Country	:	US
Telephone Number	:	804-261-2090
Fax Number	:	804-261-2962

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	NICOLE BARNES
Credential	:	LPC
Telephone Number	:	804-261-2090

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/16/2026

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