Provider Demographics
NPI:1245036136
Name:F.A.M. MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:F.A.M. MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-874-5136
Mailing Address - Street 1:1810 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4173
Mailing Address - Country:US
Mailing Address - Phone:804-874-5136
Mailing Address - Fax:
Practice Address - Street 1:1810 BUTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4173
Practice Address - Country:US
Practice Address - Phone:804-874-5136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health