Organization
FAMILY UNITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY ANDRE DAVIS (CHIEF EXECUTIVE OFFICER)
(804) 748-7419
Entity
Organization
Contact information
Practice address
11304 JEFFERSON DAVIS HWY APT 9C, NORTH CHESTERFIELD, VA 23237-4258
(804) 748-7419
Mailing address
11304 JEFFERSON DAVIS HWY APT 9C, NORTH CHESTERFIELD, VA 23237-4258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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