DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EDGEWOOD GROUP FAMILY SERVICES

MEDICARE: EDGEWOOD GROUP FAMILY SERVICES
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
1101YM0800XMental Health Counselor709-05-001VA

Other Identifiers

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

General Provider Information

NPI Number : 1881607414
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDGEWOOD GROUP FAMILY SERVICES
Provider Business Mailing Address
First Line : 4906 FITZHUGH AVE
Second Line : SUITE 104
City : RICHMOND
State : VA
Zip : 23230-3526
Country : US
Telephone Number : 804-648-0671
Fax Number : 804-648-0672
Provider Business Practice Location Address
First Line : 4906 FITZHUGH AVE
Second Line : SUITE 104
City : RICHMOND
State : VA
Zip : 23230-3526
Country : US
Telephone Number : 804-648-0671
Fax Number : 804-648-0672
Authorized Official
Title or Position : DIRECTOR OF SERVICES
Name : WILLIAM TRAVIS CROCKER
Credential :
Telephone Number : 804-648-0671
Provider Enumeration Date : 08/14/2006
Last Update Date : 02/17/2011

Similar Medicare Providers

1891951489 — SUBSTANCE ABUSE CONSULTING SERVICES, INC.
Practice Location Address:
4906 FITZHUGH AVE , SUITE 101
RICHMOND, VA
23230-3526
Practice Phone: 804-282-7491
Practice Fax: 804-282-7492
1730407123 — EDGEWOOD GROUP FAMILY SERVICES
Practice Location Address:
4906 FITZHUGH AVE , SUITE 104
RICHMOND, VA
23230-3526
Practice Phone: 804-648-0671
Practice Fax: 804-648-0672
1962720060 — EDGEWOOD GROUP FAMILY SERVICES
Practice Location Address:
4906 FITZHUGH AVE , SUITE 104
RICHMOND, VA
23230-3526
Practice Phone: 804-648-0671
Practice Fax: 804-648-0672
1114245180 — EDGEWOOD GROUP FAMILY SERVICES
Practice Location Address:
4906 FITZHUGH AVE , SUITE 104
RICHMOND, VA
23230-3526
Practice Phone: 804-648-0671
Practice Fax: 804-648-0672
1124331301 — MR. PRICE L. DAVIS L.C.S.W.
Practice Location Address:
4906 FITZHUGH AVE , SUITE 100
RICHMOND, VA
23230-3526
Practice Phone: 804-648-0671
Practice Fax: 804-648-0672
1699089839 — EDGEWOOD GROUP FAMILY SERVICES
Practice Location Address:
4906 FITZHUGH AVE , SUITE 104
RICHMOND, VA
23230-3526
Practice Phone: 804-648-0671
Practice Fax: 804-648-0672

Directions to “EDGEWOOD GROUP FAMILY SERVICES ” 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 © 2007-2025 (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.