Provider Demographics
NPI:1407203979
Name:PROVIDING PLEASANT FAMILY SERVICES LLC
Entity type:Organization
Organization Name:PROVIDING PLEASANT FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:LUKE
Authorized Official - Last Name:PLEASANT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MAED
Authorized Official - Phone:804-303-2650
Mailing Address - Street 1:8527 MAYLAND DR
Mailing Address - Street 2:105
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4753
Mailing Address - Country:US
Mailing Address - Phone:804-303-2650
Mailing Address - Fax:804-303-6387
Practice Address - Street 1:8527 MAYLAND DR
Practice Address - Street 2:105
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4753
Practice Address - Country:US
Practice Address - Phone:804-303-2650
Practice Address - Fax:804-303-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-15
Last Update Date:2016-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2504251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health