MEDICARE: FAMILY UNITED 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	101YM0800X	Mental Health Counselor		VA

General Provider Information

NPI Number	:	1477074490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY UNITED LLC

Provider Business Mailing Address
First Line	:	11304 JEFFERSON DAVIS HWY APT 9C
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-4258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11304 JEFFERSON DAVIS HWY APT 9C
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-4258
Country	:	US
Telephone Number	:	804-748-7419
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. TONY ANDRE DAVIS
Credential	:
Telephone Number	:	804-748-7419

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	06/29/2017

Similar Medicare Providers

1689886111 — SUTTON'S RETIREMENT CENTER
Practice Location Address:

4258 HWY 13 NORTH
GOLDSBORO, NC
27534

Practice Phone: 919-759-9695
Practice Fax:

1598183667 — MARY SCHIERMEYER
Practice Location Address:

6052 SEA CLIFF COVE ST
NORTH LAS VEGAS, NV
89031-4258

Practice Phone: 702-496-1177
Practice Fax:

1013868777 — TANIKA TAYLOR
Practice Location Address:

8618 GUNSIGHT LN
NORTH CHESTERFIELD, VA
23237-2356

Practice Phone: 804-335-5858
Practice Fax:

1063628170 — METRO TREATMENT OF VIRGINIA LP
Practice Location Address:

9609 ROUTE 1
NORTH CHESTERFIELD, VA
23237-4621

Practice Phone: 407-351-7080
Practice Fax: 407-351-6930

1033493200 — SKYE IS THE LIMIT RESIDENTIAL SERVICES
Practice Location Address:

9916 REYMET CT
NORTH CHESTERFIELD, VA
23237-2375

Practice Phone: 804-271-0825
Practice Fax:

1144597295 — MS. MELISSA LYN OWENS MT-BC
Practice Location Address:

4713 BELFIELD CT
NORTH CHESTERFIELD, VA
23237-2126

Practice Phone: 804-399-5897
Practice Fax:

Directions to “FAMILY UNITED LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.