MEDICARE: FAMILY SOLUTIONS, INC

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	65014002	VA

General Provider Information

NPI Number	:	1669532396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	9016 RIVER CRES
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23433-1304
Country	:	US
Telephone Number	:	757-238-2038
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 QUACKENBUSH PL
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23702-2220
Country	:	US
Telephone Number	:	757-238-2038
Fax Number	:	757-238-2038

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. STACY FLINT GRIMES
Credential	:	L.C.S.W.
Telephone Number	:	757-238-2038

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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Directions to “FAMILY SOLUTIONS, INC ” Practice Location

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