Faith & Family Advocate, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAITH & FAMILY ADVOCATE, LLC

Practice address

8234 Fourscore Dr
Mechanicsville, VA 23111-4541

Phone

(804) 402-1611

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Deidre Wade Whittle, M. ED, QMHP

Title

Ceo/Program Director

Phone

(804) 402-1611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316957327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8234 FOURSCORE DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8234 FOURSCORE DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114541",
            "telephone_number": "804-402-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & FAMILY ADVOCATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTLE",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-402-1611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED, QMHP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Mechanicsville, VA
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• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.