Provider Demographics
NPI:1316276603
Name:VIRGINIA FAMILY COUNSELING, INC.
Entity type:Organization
Organization Name:VIRGINIA FAMILY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-281-9313
Mailing Address - Street 1:410 MAPLE AVE W STE 7
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4224
Mailing Address - Country:US
Mailing Address - Phone:703-281-9313
Mailing Address - Fax:703-281-9769
Practice Address - Street 1:410 MAPLE AVE W STE 7
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4224
Practice Address - Country:US
Practice Address - Phone:703-281-9313
Practice Address - Fax:703-281-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904001855251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health