ACT FAMILY PROGRAM (NPI# 1396998480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396998480 |
| Entity Type | Organization |
| Organization Name | ACT FAMILY PROGRAM |
| Practice Address |
39 Garrett Street Suite 109 Warrenton VA 20186 |
| Practice Telephone | 5403472221 |
| Practice Fax Number | 5403472221 |
| Mailing Telephone | 5403472221 |
| Mailing Fax Number | 5403472221 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | DR. SHARON L. COFFEY (DIRECTOR) |
| Authorized Official Telephone | 5402202703 |
| Authorized Official Credential | PSYD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1172 | VA | Agencies |
| Street Address |
39 GARRETT STREET SUITE 109 |
| City | WARRENTON |
| State | VA |
| Zip Code | 20186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708704 | Melissa A. Griffith Crooks | Social Worker | In Luck Counseling, LLC, 92 Main Street, Warrenton, VA 20186 | 2020-04-02 |
| 1255757506 | Wecare Pharmacy LLC | Pharmacy | 516 Fletcher Dr, Warrenton, VA 20186 | 2014-03-11 |
| 1497031975 | Blue Ridge Orthopaedic Associates, PC | Physician Assistant | 52 W. Shirley Ave., Warrenton, VA 20186 | 2011-10-27 |
| 1215213939 | Bassim Mousa | Pharmacist | 276 Lee Hwy, Warrenton, VA 20186 | 2011-10-26 |
| 1770868721 | Denise Leanne Glasser | Pharmacist | 276 West Lee Highway, Warrenton, VA 20186 | 2011-10-20 |
| 1003117607 | Elizabeth A Lowell | Pharmacist | 189 Old Lee Hwy, Warrenton, VA 20186 | 2010-11-12 |
| 1396045688 | Suong Thu Nguyen | Pharmacist | 189 Lee Hwy, Warrenton, VA 20186 | 2010-11-02 |
| 1174830921 | Natalia Lueck | Counselor | 28 Ashby St Suite G101, Warrenton, VA 20186 | 2010-08-31 |
| 1568604742 | Harris Teeter, LLC | Pharmacy | 530 Fletcher Dr., Warrenton, VA 20186 | 2009-04-02 |
| 1992952600 | Jason S Woodside Dds & Thomas C Sentz Dds, P.C. | Dentist | 361 Walker Dr., #204, Warrenton, VA 20186 | 2008-08-25 |
| Find all providers in zip 20186 | ||||
| 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 |
|---|---|---|---|---|
| 1912373424 | Family Preservation Services, Inc | Community/Behavioral Health | 169 Keith St, Warrenton, VA 20186-3231 | 2015-08-19 |
| 1336461342 | Ricky Paylor | Community/Behavioral Health | 328 Parktown Rd, Warrenton, NC 27589-9151 | 2010-02-17 |
| 1508029604 | Golden Footprint LLC | Community/Behavioral Health | 108 S Bragg St, Suite 6, Warrenton, NC 27589-2048 | 2008-07-08 |
| 1649806134 | Youniversal Solutions | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2020-03-17 |
| 1356901979 | Joshua Terrill | Community/Behavioral Health | 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 | 2019-06-17 |
| 1588904304 | Strategic Interventions, LLC | Community/Behavioral Health | 108 S Bragg St, Warrenton, NC 27589 | 2013-02-15 |
| 1720352453 | Freedom House Recovery Center | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2012-02-27 |
| 1467750257 | E Squared Community Services | Community/Behavioral Health | 126 N Main St, Warrenton, NC 27589-1922 | 2011-03-03 |
| 1093017931 | Prodigious Health Services, LLC | Community/Behavioral Health | 108 S Bragg St, Warrenton, NC 27589-2048 | 2010-11-29 |
| 1801071121 | Quality Community Care, Inc. | Community/Behavioral Health | 124 N Main St, Warrenton, NC 27589-1922 | 2008-01-05 |
| Find all providers in WARRENTON | ||||
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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.