Provider Demographics
NPI:1700536273
Name:FAMILY FOCUS COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:FAMILY FOCUS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:SPEARMAN-CAMBLARD
Authorized Official - Last Name:PSY.D.
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:888-469-3327
Mailing Address - Street 1:7400 BEAUFONT SPRINGS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5519
Mailing Address - Country:US
Mailing Address - Phone:888-436-8836
Mailing Address - Fax:860-955-1611
Practice Address - Street 1:7400 BEAUFONT SPRINGS DR STE 300
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5519
Practice Address - Country:US
Practice Address - Phone:888-436-8836
Practice Address - Fax:860-955-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-26
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30015652980001Medicaid
CT008102775Medicaid