Provider Demographics
NPI:1124783238
Name:LOC FAMILY SERVICES
Entity type:Organization
Organization Name:LOC FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYS-COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-315-1214
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-0037
Mailing Address - Country:US
Mailing Address - Phone:434-547-2545
Mailing Address - Fax:844-843-9298
Practice Address - Street 1:1014 W 3RD ST
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2633
Practice Address - Country:US
Practice Address - Phone:434-315-1214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management