FAMILY PRESERVATION SERVICES, INC. (NPI# 1760736078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760736078 |
| Entity Type | Organization |
| Organization Name | FAMILY PRESERVATION SERVICES, INC. |
| Practice Address |
1696 Noblin Farm Rd Clarksville VA 23927-3101 |
| Mailing Address |
10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 |
| Practice Telephone | 4343923328 |
| Practice Fax Number | 4343923235 |
| Mailing Telephone | 5407106085 |
| Mailing Fax Number | 5407106447 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |
| Authorized Official Name | MR. MICHAEL C FIDGEON (PRESIDENT) |
| Authorized Official Telephone | 5407106085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 158 02 029 | VA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 158 02 029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791385 | Family Preservation Services, Inc. | Community/Behavioral Health | 59 John Lewis Rd, Fishersville, VA 22939-3414 | 2019-06-28 |
| 1770142994 | Family Preservation Services, Inc. | Community/Behavioral Health | 108 W Blue Ridge St, Stuart, VA 24171-1579 | 2019-06-11 |
| 1609434042 | Family Preservation Services, Inc. | Community/Behavioral Health | 155 Shady Elm Ln, Weber City, VA 24290-7299 | 2019-05-31 |
| 1477034999 | Family Preservation Services, Inc. | Community/Behavioral Health | 6339 Hurley Rd, Hurley, VA 24620-8601 | 2018-08-23 |
| 1386125805 | Family Preservation Services, Inc. | Community/Behavioral Health | 260 Advantage Dr, Tazewell, VA 24651-8551 | 2018-08-23 |
| 1740761261 | Family Preservation Services, Inc. | Community/Behavioral Health | 1300 Golden Wave Dr, Grundy, VA 24614-7070 | 2018-08-23 |
| 1962983650 | Family Preservation Services, Inc. | Community/Behavioral Health | 7802 Helen Henderson Hwy, Honaker, VA 24260-4226 | 2018-08-22 |
| 1306323225 | Family Preservation Services, Inc. | Community/Behavioral Health | 740 Figsboro Rd, Martinsville, VA 24112-6770 | 2018-07-24 |
| 1881104891 | Family Preservation Services, Inc. | Community/Behavioral Health | 816 E Bank St, Petersburg, VA 23803-3406 | 2017-10-04 |
| 1619374287 | Family Preservation Services, Inc. | Community/Behavioral Health | 58 Cedar Green Rd, Staunton, VA 24401-5423 | 2014-11-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Family Preservation Services, Inc. | P O Box 12925 , Tucson, AZ 85732 |
| Virginia Business Entity | Family Preservation Services, Inc. | 10304 SPOTSYLVANIA AVENUE SUITE 300, FREDERICKSBURG, VA 22408 |
| Street Address |
1696 NOBLIN FARM RD |
| City | CLARKSVILLE |
| State | VA |
| Zip Code | 23927-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912252958 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pky, Clarksville, VA 23927 | 2012-07-16 |
| 1730485905 | Southside Csb | Intermediate Care Facility, Mentally Retarded | 143 Industrial Pkwy, Clarksville, VA 23927 | 2011-02-04 |
| 1346306859 | Reginald S Young | Dentist | 611 Virginia Avenue, Clarksville, VA 23927 | 2006-12-29 |
| 1083792261 | Clarksville Counseling Center, Plc | Counselor | 403 Virginia Avenue, Suite F, Clarksville, VA 23927 | 2006-11-02 |
| 1396830956 | Sabrina Bullock | Midwife | 606 Virginia Avenue, Clarksville, VA 23927 | 2006-10-03 |
| 1831282946 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 1013 Virginia Ave, Clarksville, VA 23927 | 2006-10-02 |
| 1669572897 | Dominion Health Medical Assoc | Legal Medicine | 115 College St, Clarksville, VA 23927 | 2006-09-25 |
| 1255350807 | Clarksville Community Pharmacy, Inc. | Pharmacist | 11226 Hwy. 15 S., Clarksville, VA 23927 | 2006-07-18 |
| 1619974029 | Clarksville Senior Care, LLC | Skilled Nursing Facility | 184 Buffalo Rd, Clarksville, VA 23927 | 2005-06-30 |
| 1861755746 | Rachael Burton | Family Medicine | 115 College St, Clarksville, VA 23927 | 2012-06-16 |
| Find all providers in zip 23927 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579253 | Connected Counseling, LLC | Community/Behavioral Health | 1816 Memorial Cir, Clarksville, TN 37043-4539 | 2020-02-09 |
| 1396138376 | Rondell Harju, Lcsw | Community/Behavioral Health | 4065 Challis Dr, Clarksville, TN 37040-2533 | 2015-03-14 |
| 1689077802 | Lemai Daisy | Community/Behavioral Health | 1473 Mutual Dr, Clarksville, TN 37042-7090 | 2014-10-01 |
| 1013317445 | Trinity Behavioral Health Services LLC | Community/Behavioral Health | 151b Hatcher Ln, Clarksville, TN 37043 | 2014-09-04 |
| 1679973812 | Graham Martin | Community/Behavioral Health | 135 Westfield Ct, 320, Clarksville, TN 37040-5073 | 2014-08-25 |
| 1851714349 | Focused Aba Services LLC | Community/Behavioral Health | 3589 Highway 41a S, Clarksville, TN 37043-6805 | 2014-02-04 |
| 1639397318 | Centerstone | Community/Behavioral Health | 314 Ridgeline Dr, Clarksville, TN 37042-3765 | 2007-04-20 |
| 1659905396 | Western Arkansas Counseling and Guidance Center, Inc-rcf Clarksville | Community/Behavioral Health | 311 S Central St, Clarksville, AR 72830-3601 | 2020-03-02 |
| 1508327255 | Remade Counseling and Consulting, LLC | Community/Behavioral Health | 1820 Memorial Dr Ste 101, Clarksville, TN 37043-4693 | 2019-03-26 |
| 1932568490 | Caprice Riley | Community/Behavioral Health | 511 8th St, Clarksville, TN 37040-3093 | 2016-02-12 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 23927 |
Please comment or provide details below to improve the information on FAMILY PRESERVATION SERVICES, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.