Provider Demographics
NPI:1477256709
Name:FRONT HEALTHCARE , LLC
Entity Type:Organization
Organization Name:FRONT HEALTHCARE , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAMIA
Authorized Official - Middle Name:MOSTAFA
Authorized Official - Last Name:ABDELMAGID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-874-6544
Mailing Address - Street 1:1803 N 28TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-4505
Mailing Address - Country:US
Mailing Address - Phone:804-874-6544
Mailing Address - Fax:804-442-7069
Practice Address - Street 1:1803 N 28TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-4505
Practice Address - Country:US
Practice Address - Phone:804-874-6544
Practice Address - Fax:804-442-7069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty