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Organization

FAMILY TIES YOUTH EMPOWERMENT HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAMEKA VALANDA WOODLEY QMHP (OWNER / MEMBER / CEO / ADMIN.)
(757) 235-7866
Entity
Organization

Contact information

Practice address
409 LAKE HAVASU DR, VIRGINIA BEACH, VA 23454-3976
(757) 235-7866
Mailing address
409 LAKE HAVASU DR, VIRGINIA BEACH, VA 23454-3976
(757) 235-7866
(757) 242-8046

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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