# FAMILY SUCCESS ON SPECTRUM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588137913
- **Authorized official:** MURTADHA A SHAHEEN (MANAGER)
- **Authorized official phone:** (804) 305-6849

## Contact information

- **Practice address:** 8401 PATTERSON AVE STE 205, RICHMOND, VA 23229-6430
- **Practice address phone:** (804) 918-5206
- **Mailing address:** 8401 PATTERSON AVE STE 205, RICHMOND, VA 23229-6430
- **Mailing address phone:** (804) 305-6849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 222Q00000X | Developmental Therapist | — | NULL | — |
| 222Q00000X | Developmental Therapist | — | — | — |
| 225XM0800X | Mental Health Occupational Therapist | — | NULL | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 01/08/2019