Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ERVIN'S VILLAGE FAMILY SUPPORT LLC
NPI 1427779800
Clinic/Center - Mental Health (Including Community Mental Health Center) in Martinsville, VA

Active since September 06, 2022
10 E CHURCH ST STE 505, MARTINSVILLE, VA 24112(434) 201-4911(434) 888-8508 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, Sep 7, 2022 (2 updates tracked since 2022).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About ERVIN'S VILLAGE FAMILY SUPPORT LLC

This page provides the complete NPI Profile along with additional information for Ervin's Village Family Support Llc, a provider established in Martinsville, Virginia operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1427779800 assigned on September 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated July 2026. Ervin's Village Family Support Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jacquese Hinton Qmhp (Vp Of Operations & Care Integration)

NPI
1427779800 Verify this NPI
Provider Name
ERVIN'S VILLAGE FAMILY SUPPORT LLC
Entity Type
Organization
Location Address
10 E CHURCH ST STE 505 MARTINSVILLE, VA 24112
Location Phone
(434) 201-4911
Location Fax
(434) 888-8508
Mailing Address
10 E CHURCH ST STE 505 MARTINSVILLE, VA 24112
Mailing Phone
(434) 201-4911
Mailing Fax
(434) 888-8508
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2022
Last Update Date
07-14-2026
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Location Map

Secondary Locations

  • 8301 Martinsville Hwy
    Danville, VA 24541
    (434) 201-4911

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
31041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
4163WP0808XNursing Service Providers

Registered Nurse
Psychiatric/Mental Health

 
52084A0401XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Medicine

 
62084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUESE HINTON QMHP

Authorized Official Title
VP OF OPERATIONS & CARE INTEGRATION
Authorized Official Phone
(434) 995-6915

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427779800, enumerated as an "organization" on September 06, 2022.

The provider is located at 10 E CHURCH ST STE 505 MARTINSVILLE, VA 24112 and the phone number is (434) 201-4911.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).