Organization
FAMILY MAINTENANCE COUNSELING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC INGRAM B.A., Q.M.H.P. (PRESIDENT)
(804) 440-8310
Entity
Organization
Contact information
Practice address
3900 CHAMBERLAYNE AVE, RICHMOND, VA 23227-4202
(804) 440-8310
(804) 515-7703
Mailing address
3900 CHAMBERLAYNE AVE, RICHMOND, VA 23227-4202
(804) 440-8310
(804) 515-7703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
79405001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010314542
—
VA
Enumeration date
09/30/2006
Last updated
09/11/2009
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