FAMILY PRESERVATION SERVICES, INC (NPI# 1124518105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124518105 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC |
| Practice Address |
3710 Churchville Ave Churchville VA 24421-2500 |
| Mailing Address |
10304 Spotsylvania Ave Ste 300 Fredericksburg VA 22408-8605 |
| Practice Telephone | 2766239245 |
| Practice Fax Number | 2766231183 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | DONNA QUARLES (DIRECTOR OF CLINICAL RECORDS) |
| Authorized Official Telephone | 5409931229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158-02-014 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158-02-014 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186090 | Family Preservation Services, Inc | Community/Behavioral Health | 6328 Merriman Rd, Roanoke, VA 24018-6624 | 2017-10-26 |
| 1679083596 | Family Preservation Services, Inc | Community/Behavioral Health | 311 S Bridge St, Bedford, VA 24523-2705 | 2017-10-05 |
| 1881104701 | Family Preservation Services, Inc | Community/Behavioral Health | 63 State Route 9030, Stuarts Draft, VA 24477 | 2017-10-05 |
| 1427568344 | Family Preservation Services, Inc | Community/Behavioral Health | 184 Fort Defiance Rd, Fort Defiance, VA 24437-2001 | 2017-10-05 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1386185361 | Family Preservation Services, Inc | Community/Behavioral Health | 122 Municipal Ave, Gate City, VA 24251-2738 | 2017-03-10 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1326598293 | Family Preservation Services, Inc | Community/Behavioral Health | 432 Church St, Millboro, VA 24460-2132 | 2016-10-04 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1154877124 | Family Preservation Services, Inc | Community/Behavioral Health | 124 W. Laurel Avenue, Damascus, VA 24236 | 2016-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Family Preservation Services, Inc. | P O Box 12925 , Tucson, AZ 85732 |
| Virginia Business Entity | Family Preservation Services, Inc. | 10304 SPOTSYLVANIA AVENUE SUITE 300, FREDERICKSBURG, VA 22408 |
| Street Address |
3710 CHURCHVILLE AVE |
| City | CHURCHVILLE |
| State | VA |
| Zip Code | 24421-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831514082 | Megan Sensabaugh Ady | Physician Assistant | 3881 Churchville Avenue, Churchville, VA 24421 | 2014-02-25 |
| 1174779904 | Donald Edwin Timberlake | Dentist | 21 Scenic Highway, Suite 103, Churchville, VA 24421 | 2008-08-12 |
| 1215912514 | West Augusta Pharmacy | Pharmacy | 21 Scenic Highway, Riverside Plaza, Churchville, VA 24421-0000 | 2005-12-08 |
| 1386637866 | Harry John Lee | Pharmacist | West Augusta Pharmacy, Riverside Plaza, Churchville, VA 24421-0000 | 2005-08-30 |
| 1184820185 | West Augusta Family Practice | Specialist | 21 Scenic Highway, 101, Churchville, VA 24421-0100 | 2007-06-26 |
| 1912999566 | George M Tran | Family Medicine | 3881 Churchville Ave, Churchville, VA 24421-2525 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152892 | Kaylin L Stevenson | Registered Nurse | 99 Bangs Rd, Churchville, NY 14428-9105 | 2020-07-30 |
| 1144843988 | Erica Lorraine Titlow | Counselor | 27 Heather Rd, Churchville, PA 18966-1109 | 2020-05-27 |
| 1265055362 | Sylvia Deanna Harrison | Nurse's Aide | 3516 Level Rd, Churchville, MD 21028-1436 | 2020-05-22 |
| 1700407004 | Ethel M Webb | Contractor | 495 Attridge Road, 2, Churchville, NY 14428-1462 | 2020-04-28 |
| 1225673551 | Samara Daeva Joy Johnson | Specialist/Technologist | 15 Royce Dr, Churchville, NY 14428-8900 | 2019-11-11 |
| 1992348734 | Andrea M Albrecht-haines | Behavioral Analyst | 126 Addis Dr, Churchville, PA 18966-1170 | 2019-10-24 |
| 1477112852 | Melissa Amico | Specialist | 102 Greenway Blvd, Churchville, NY 14428-9208 | 2019-06-10 |
| 1003479734 | Lisa Michelle Dymond | Speech-Language Pathologist | 124 Goucher Way, Churchville, MD 21028-1218 | 2019-04-18 |
| 1861965733 | Maureen Pettis | Registered Nurse | 46 Rochelle Dr, Churchville, NY 14428-9765 | 2019-01-03 |
| 1508359019 | Sandra Fuqua | Behavior Technician | 2923 Grafton Ln, Churchville, MD 21028-1724 | 2018-06-08 |
| Find all providers in CHURCHVILLE | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637218 | Endurance Cousneling and Supervision Services,llc | Community/Behavioral Health | 324 Lynnhaven Dr, Hampton, VA 23666-2300 | 2020-10-20 |
| 1861090615 | Energy for Life, LLC | Community/Behavioral Health | 2600 Brownstone Cir, Williamsburg, VA 23185-8321 | 2020-10-14 |
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
| City | CHURCHVILLE |
| Zip Code | 24421 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.