Provider Demographics
NPI:1700962537
Name:UNITED METHODIST FAMILY SERVICES
Entity Type:Organization
Organization Name:UNITED METHODIST FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-353-4461
Mailing Address - Street 1:3900 W BROAD ST
Mailing Address - Street 2:IN-HOME FAMILY SERVICES
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3958
Mailing Address - Country:US
Mailing Address - Phone:804-353-4461
Mailing Address - Fax:804-355-4157
Practice Address - Street 1:3900 W BROAD ST
Practice Address - Street 2:IN-HOME FAMILY SERVICES
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3958
Practice Address - Country:US
Practice Address - Phone:804-353-4461
Practice Address - Fax:804-355-4157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004948815Medicaid