Organization Active NPI

Family Resolution Services

  • Community/Behavioral Health Agency
  • Petersburg, VA
National Provider Identifier
1013175629
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
32205001 Issued in VA
Legal business name
FAMILY RESOLUTION SERVICES
Practice address
2825 S Crater Rd
#4
Petersburg, VA 23805-2473
Phone
(804) 861-3540
Fax
(804) 861-3541
NPI assigned
May 30, 2008
Organization subpart
Yes
Parent organization
AGAPE UNLIMITED IIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beatrice Inez Johnson
Title
Co-Executive Director
Phone
(804) 304-5134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 32205001 VA Primary

Addresses

Primary practice location

2825 S Crater Rd
#4
Petersburg, VA 23805-2473

Mailing address

2825 S Crater Rd
#4
Petersburg, VA 23805-2473
Phone (804) 861-3540

National Provider Directory

National Provider Directory

Locations

2825 S Crater Rd
Ste 4
Petersburg, VA 23805
Phone (804) 861-3540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1013175629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 S CRATER RD",
            "address_2": "#4",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052473",
            "telephone_number": "804-861-3540",
            "fax_number": "804-861-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 S CRATER RD",
            "address_2": "#4",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052473",
            "telephone_number": "804-861-3540",
            "fax_number": "804-861-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOLUTION SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGAPE UNLIMITED II",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-304-5134"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "32205001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.