Provider Demographics
NPI:1134203474
Name:VILLAGE FAMILY PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:VILLAGE FAMILY PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-285-8500
Mailing Address - Street 1:6714 PATTERSON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3432
Mailing Address - Country:US
Mailing Address - Phone:804-285-8500
Mailing Address - Fax:804-282-8029
Practice Address - Street 1:6714 PATTERSON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3432
Practice Address - Country:US
Practice Address - Phone:804-285-8500
Practice Address - Fax:804-282-8029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty