Family United LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY UNITED LLC

Practice address

11304 Jefferson Davis Hwy Apt 9C
North Chesterfield, VA 23237-4258

Phone

(804) 748-7419

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Tony Andre Davis

Title

Chief Executive Officer

Phone

(804) 748-7419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1477074490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 JEFFERSON DAVIS HWY APT 9C",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232374258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11304 JEFFERSON DAVIS HWY APT 9C",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232374258",
            "telephone_number": "804-748-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY UNITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-748-7419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.