Provider Demographics
NPI:1003143306
Name:FAMILY AND CHILD EMPOWERMENT SERVICES, INC.
Entity Type:Organization
Organization Name:FAMILY AND CHILD EMPOWERMENT SERVICES, INC.
Other - Org Name:FACES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN
Authorized Official - Phone:757-921-4407
Mailing Address - Street 1:807 GREYSTONE TRCE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-9457
Mailing Address - Country:US
Mailing Address - Phone:757-921-4407
Mailing Address - Fax:877-468-5361
Practice Address - Street 1:751 THIMBLE SHOALS BLVD STE J
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3563
Practice Address - Country:US
Practice Address - Phone:757-223-0866
Practice Address - Fax:877-468-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004623103TC0700X
251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2095-03-001Medicaid