Family Ties Youth Empowerment Homes LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

FAMILY TIES YOUTH EMPOWERMENT HOMES LLC

Practice address

409 Lake Havasu Dr
Virginia Beach, VA 23454-3976

Phone

(757) 235-7866

NPI assigned

May 22, 2026

Organization subpart

No

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

Authorized official

Name

Shameka Valanda Woodley, QMHPNPI 1740990944

Title

Owner / Member / Ceo / Admin.

Phone

(757) 235-7866

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shameka Woodley

  • Behavior Technician
  • Virginia Beach, VA
  • NPI 1740990944
  NPD Authorized official

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1174453872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 LAKE HAVASU DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543976",
            "telephone_number": "757-235-7866",
            "fax_number": "757-242-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 LAKE HAVASU DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543976",
            "telephone_number": "757-235-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Mustang Trl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527517",
            "country_code": "US",
            "telephone_number": "757-235-7866",
            "fax_number": "757-242-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY TIES YOUTH EMPOWERMENT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_middle_name": "VALANDA",
        "authorized_official_title_or_position": "OWNER / MEMBER / CEO / ADMIN.",
        "authorized_official_telephone_number": "757-235-7866",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.