EDGEWOOD GROUP FAMILY SERVICES
NPI 1679195895
Counselor - Addiction (Substance Use Disorder) in Petersburg, VA

Active since May 11, 2020
135 S ADAMS ST, PETERSBURG, VA 23803(804) 912-8622 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgewood Group Family Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWOOD GROUP FAMILY SERVICES (NPI 1679195895) is a healthcare organization registered as an addiction (substance use disorder) in Petersburg, Virginia and active in the NPI registry since May 2020. The organization lists William Travis Crocker, Owner, as its authorized official.

NPPES Registry Identity

NPI1679195895
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameEDGEWOOD GROUP FAMILY SERVICES
Location Address135 S ADAMS STPetersburg, VA 23803-4526
Mailing Address135 S Adams StPetersburg, VA 23803-4526 · (804) 912-8622
Organization SubpartNo
Authorized OfficialWilliam Travis CrockerOwner · (804) 356-4766
Enumeration DateMay 11, 2020
NPPES CertifiedMay 11, 2020
NPI 1679195895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
135 S ADAMS ST, Petersburg, VA 23803

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
135 S ADAMS ST
PETERSBURG, VA 23803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgewood Group Family Services's NPI number?

The NPI number for Edgewood Group Family Services is 1679195895. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Edgewood Group Family Services located?

Edgewood Group Family Services is located at 135 S Adams St, Petersburg, VA 23803. The listed phone number is (804) 912-8622.

What is Edgewood Group Family Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edgewood Group Family Services was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.