Provider Demographics
NPI:1457727158
Name:BENEVOLENT FAMILY SERVICES LLC
Entity type:Organization
Organization Name:BENEVOLENT FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STANDICE
Authorized Official - Middle Name:RUMPH
Authorized Official - Last Name:MELVIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-755-3253
Mailing Address - Street 1:5606A VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE 101 & 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5684
Mailing Address - Country:US
Mailing Address - Phone:757-227-4644
Mailing Address - Fax:
Practice Address - Street 1:2211 DICKENS RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2019
Practice Address - Country:US
Practice Address - Phone:804-206-3105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENEVOLENT FAMILY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-17
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2017261QM0850X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health