Provider Demographics
NPI:1912279969
Name:FAMILY BEHAVIORAL HEALTH & HEALING
Entity Type:Organization
Organization Name:FAMILY BEHAVIORAL HEALTH & HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEASA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SWITTENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:757-238-3505
Mailing Address - Street 1:PO BOX 5313
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23605-0313
Mailing Address - Country:US
Mailing Address - Phone:757-816-9470
Mailing Address - Fax:
Practice Address - Street 1:15064 CARROLLTON BLVD STE D
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3498
Practice Address - Country:US
Practice Address - Phone:757-816-9470
Practice Address - Fax:866-463-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)