Provider Demographics
NPI:1154984227
Name:SPECIALIZED SOLUTIONS FAMILY SERVICES
Entity type:Organization
Organization Name:SPECIALIZED SOLUTIONS FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAKETA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-912-2458
Mailing Address - Street 1:4121 MEADOWDALE BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-5500
Mailing Address - Country:US
Mailing Address - Phone:804-912-2458
Mailing Address - Fax:804-912-2504
Practice Address - Street 1:4121 MEADOWDALE BLVD STE C
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5500
Practice Address - Country:US
Practice Address - Phone:804-912-2458
Practice Address - Fax:804-912-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health