Provider Demographics
NPI:1447341805
Name:VIRGINIA CENTER FOR FAMILY RELATIONS, PC
Entity type:Organization
Organization Name:VIRGINIA CENTER FOR FAMILY RELATIONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LMFT
Authorized Official - Phone:434-973-5640
Mailing Address - Street 1:1450 SACHEM PLACE
Mailing Address - Street 2:SUITE101
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:434-973-5640
Mailing Address - Fax:
Practice Address - Street 1:1450 SACHEM PLACE
Practice Address - Street 2:SUITE101
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901
Practice Address - Country:US
Practice Address - Phone:434-973-5640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000770101YA0400X
101YM0800X
VA0701001071101YM0800X
VA0701001887101YM0800X
VA0701002541101YM0800X
VA0701003925101YM0800X
VA09040037281041C0700X
VA09040016031041C0700X
VA0717000095106H00000X
VA0717000162106H00000X
VA0717000431106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4345708OtherLARRY L. FRENCH/AETNA#
VA068091OtherLOIS H. MCKIM/ANTHEM #
VA010173132Medicaid
VA1235238197OtherLOIS H MCKIM NPI
VA1548370976OtherKRISTIN AUGUSTINE NPI
VA800002732OtherKRISTIN AUGUSTINE MEDICARE
VA1022108OtherLARRY L. FRENCH/CIGNA #
VA1982712071OtherROBERT TUCKER NPI
VA1396842399OtherPETER J SCHMIDT NPI
VA324172OtherLARRY FRENCH/MHN TRICARE#
VA210166OtherELIZABETH R ADAMS/SOUTHEA
VA800000316OtherLOIS H MCKIM MEDICARE
VA082182OtherLARRY FRENCH # ANTHEM
VA112348OtherPETER J SCHMIDT / ANTHEM#
VA1538250998OtherLARRY L FRENCH NPI
VA324177OtherPETER J SCHMIDT/MHN TRICA
VA010205930Medicaid
VA1437263837OtherBETH ADAMS NPI
VA82120OtherLARRY L. FRENCH/SENTARA #
VA800000316OtherLOIS H MCKIM MEDICARE
VAC06792Medicare PIN