Provider Demographics
NPI:1548409287
Name:PREMIER FAMILY COUNSELING CENTER, INC.
Entity type:Organization
Organization Name:PREMIER FAMILY COUNSELING CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:H
Authorized Official - Last Name:LANGFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-204-1899
Mailing Address - Street 1:2116 DABNEY RD
Mailing Address - Street 2:SUITE B2
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3341
Mailing Address - Country:US
Mailing Address - Phone:804-204-1899
Mailing Address - Fax:
Practice Address - Street 1:2116 DABNEY RD
Practice Address - Street 2:SUITE B2
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3341
Practice Address - Country:US
Practice Address - Phone:804-204-1899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER FAMILY COUNSELING CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACO-320-09251B00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251B00000XAgenciesCase Management