Provider Demographics
NPI:1962732628
Name:ADVOCATES FOR FAMILIES
Entity type:Organization
Organization Name:ADVOCATES FOR FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MUMPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-528-9075
Mailing Address - Street 1:2919 CONFEDERATE AVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2435
Mailing Address - Country:US
Mailing Address - Phone:434-528-9075
Mailing Address - Fax:434-528-9078
Practice Address - Street 1:2919 CONFEDERATE AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2435
Practice Address - Country:US
Practice Address - Phone:434-528-9075
Practice Address - Fax:434-528-9078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101036534208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD80437OtherUPIN