Provider Demographics
NPI:1649612029
Name:ALLIANCE FAMILY COUNSELING GROUP
Entity type:Organization
Organization Name:ALLIANCE FAMILY COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYNTHIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LAWTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-477-7691
Mailing Address - Street 1:9409 HULL STREET RD STE F2
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1200
Mailing Address - Country:US
Mailing Address - Phone:804-745-1203
Mailing Address - Fax:804-477-7828
Practice Address - Street 1:9409 HULL STREET RD STE F2
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1200
Practice Address - Country:US
Practice Address - Phone:804-477-7691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Yes251S00000XAgenciesCommunity/Behavioral Health