DMAS PROVIDER LIST for VICAP The provider list will be updated by wuxiangyu

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									                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                             License
   Region     CSB/BHA       Location            Areas Served/Notes                           Company Name                    Zip         Phone       IIHS    TDT    MHSS    Expiration
                                                                                                                                                                              Date

Northern   Alexandria    Alexandria                                            Associated Educational Services of Virginia, 22314   703-257-5050    IIHS
ALEXANDRIA

                                                                               Inc
Northern    Alexandria   Burke            Fairfax/Falls Church, Alrington,     Autumnleaf Group, Inc                        22015   703-658-7103    IIHS
                                          Prince William, Loudon Counties,
                                          Alexandria City and Fairfax City

Northern    Alexandria   Washington     Fairfax, Arlington, Alexandria    Circles of Hope Psychotherapy & Addiction       20009     202-265-2343    IIHS                   9/15/2014
                         D.C.           City, Fairfax City, Falls Church, Services
                                        Manassas Park, Manassas City,
                                        Prince William County
Northern    Alexandria   Alexandria/    Fairfax, Falls Church, Arlington, Dominion Day Services                           22304     855-444-9838            TDT
                         Fredericksburg Manassas, Alexandria, Prince
                         / Lynchburg    William, Spotsylvania, City of
                                        Fredricksburg, Caroline Counties,
                                        King George, Stafford, Orange,
                                        Louisa, Fauquier, Westmoreland


Northern    Alexandria   Goochland        Statewide                            Elk Hill Farm, Inc                         23063     804-457-4866    IIHS                   5/21/2014
Northern    Alexandria   Manassas         City of Alexandria, Arlington        Family Insight, PC                         20111     571-208-0592    IIHS           MHSS    5/26/2013
                                          County, Fairfax County, City of
                                          Fairfax, Town of Herndon, Prince
                                          William County, Loudoun County,
                                          Fauquier County, City of
                                          Manassas, Town of Warrenton,
                                          Manassas Park, Town of
                                          Leesburg
Northern    Alexandria   Culpeper/        Culpeper, Orange, Madison,           Family Preservation Services               22701/ 540-825-3117/ 703- IIHS    TDT    MHSS
                         Fairfax          Rappahannock, Fauquier, Fairfax,                                                22030 691-7373
                                          Falls Church, Alexandria,
                                          Manassas, Arlington, Prince
                                          William
Northern    Alexandria   Fairfax          Fairfax County, Loudon County,       Family Priority, LLC                       22030     703-537-0700    IIHS
                                          Prince William County, Stafford
                                          County, City of Arlington, City of
                                          Alexandria, Falls Church,
                                          Rappahannock Counties

Northern    Alexandria   Alexandria       Arlington, Fairfax County,           First Home Care                            22312     703-914-0182    IIHS           MHSS
                                          Loudon County, Prince William
                                          County, City of Arlington, City of
                                          Alexandria, Falls Church,
                                          Rappahannock Counties



                                                                                          Page 1 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                   License
   Region      CSB/BHA       Location             Areas Served/Notes                        Company Name                       Zip        Phone           IIHS    TDT    MHSS     Expiration

Northern    Alexandria    Falls Church      Alexandria, Falls Church, Fairfax, IFCS-Institute for Family Centered Services   22046   703-237-5713        IIHS           MHSS    11/1/2013
                                                                                                                                                                                    Date

                                            Arlington, Loudon, Prince
                                            William
Northern    Alexandria    Annandale         Fairfax County, City of Falls      National Counseling Group, Inc.               22003   703-813-5982        IIHS    TDT    MHSS    9/25/2015
                                            Church, City of Fairfax, City of
                                            Alexandria, Arlington County
Northern    Alexandria    Alexandria        Prince William County              Lifting As We Climb Community Services,       22192   202-445-0701        IIH            MHSS    12/2/2014
                                                                               LLC
Northern    Alexandria    Annandale         Fairfax, Fairfax City, Arlington,  Phillips Family Partners                      22003   703-941-3471        IIHS
                                            Alexandria City, Falls Church,
                                            Manassas Park, Manassas City,
                                            Prince William County, Loudoun
                                            County
Northern    Alexandria    Alexandria        Fredericksburg, Stafford,          The Wellness Group Youth & Family             22401   804-359-0613        IIHS           MHSS    1/31/2014
                                            Spotsylvania, King George,         Services, Inc
                                            Caroline
                                            Arlington, Alexandria, Fairfax                                                   20109
                                            County, City of Fairfax, Prince
                                            William, Loundon, Fanquier,
Northern    Alexandria    Manassas, VA      Stafford, Fredericksburg           Therapeutic Alliance LLC.                             703-492-2686        IIHS           MHSS    6/30/2013
Northern    Alexandria    Belle Haven       Alexandria & surrounding areas Therapeutic Interventions, Inc                    23306   757-442-6147        IIHS    TDT    MHSS    1/8/2013

Northern    Alexandria    Alexandria                                          United Methodist Family Services- Northern 22312       703-941-9008        IIHS    TDT

Northern    Alexandria    Manassas          Arlington, Alexandria, Fairfax   Virginia Home Based Counseling, PC              22314   703-367-7800        IIHS           MHSS
                                            County, City of Fairfax, Prince
                                            William, Loundon, Fanquier,
                                            Stafford, Fredericksburg
Northern    Alexandria    Alexandria        Arlington, Alexandria, Fairfax   Virginia Support Services, PC                   22314   571-208-4823 703-                  MHSS    4/29/2013
                                            County, City of Fairfax, Falls                                                           304-7020
                                            Church, Prince William, Loundon,
                                            Fanquier, Stafford,
                                            Fredericksburg
Northern    Alexandria    Centreville       Alexandria, Arlington, Loudoun, Walking with you….. LLC                          20121   703-659-1292        IIHS                   10/12/2013
                                            Fairfax, Prince William, Fauqier
                                            County

Southwestern Alleghany-   Covington         Covington, Alleghany, Clifton     Alleghany Highlands Community Svc              24426   540-965-2100        IIHS           MHSS
ALLEGHANY - HIGHLANDS

             Highlands                      Forge
Southwestern Alleghany-   Verona            Covington                         Family Preservation Services- Staunton         24482   540-248-5510        IIHS    TDT    MHSS
             Highlands
Southwestern Alleghany-   Covington         Alleghany, Highlands, Covington Mountain River Counseling, LLC (Brigid           24426   540-962-0290        IIHS
             Highlands                                                      Hundley)



                                                                                         Page 2 of 104
                                                                               DMAS PROVIDER LIST for VICAP
                                          The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                         February2013




                                                                                                                                                                                    License
   Region       CSB/BHA         Location            Areas Served/Notes                        Company Name                       Zip          Phone         IIHS    TDT    MHSS    Expiration

Southwestern Alleghany HighlaCovington/       Alleghany County, City of         Virginia Home Based Counseling, PC             24501    540-292-2565/ 434- IIHS    TDT    MHSS
                                                                                                                                                                                     Date

                             Lynchburg        Covington, Clifton Forge                                                                  238-7308
Southwestern Alleghany-Highl Lynchburg        Covington, Alleghany, Clifton     Virginia Support Services, PC                  24521    434-238-7308                      MHSS
                                              Forge

Northern      Arlington     Burke             Arlington                         Autumnleaf Group, Inc                          22015    703-658-7103       IIHS
ARLINGTON

Northern      Arlington     Washington        Arlington                         Circles of Hope Psychotherapy & Addiction      20009    202-265-2343       IIHS                   9/15/2014
                            D.C.                                                Services
Northern      Arlington     Alexandria/       Arlington                         Dominion Day Services                          22304    855-444-9838               TDT
                            Fredericksburg
                            / Lynchburg
Northern      Arlington     Manassas          Arlington County                  Family Insight, PC                             20111    571-208-0592       IIHS           MHSS    5/26/2013
Northern      Arlington     Culpeper/         Arlington                         Family Preservation Services                   22701/   540-825-3117/ 703- IIHS    TDT    MHSS
                            Fairfax                                                                                            22030    691-7373
Northern      Arlington     Fairfax           Arlington                          Family Priority LLC                           22030    703-537-0700       IIHS
Northern      Arlington     Falls Church      Alexandria, Falls Church, Fairfax, IFCS-Institute for Family Centered Services   22046    703-237-5713       IIHS           MHSS    11/1/2013
                                              Arlington, Loudon, Prince
                                              William
Northern      Alexandria    Alexandria        Prince William County              Lifting As We Climb Community Services,       22192    202-445-0701       IIH            MHSS    12/2/2014
                                                                                 LLC
Northern      Arlington     Annandale         Arlington, Alexandria City         National Counseling Group, Inc.               22003    703-813-5982       IIHS           MHSS
Northern      Arlington     Annandale/        Arlington County                   National Counseling Group, Inc.               22003/   703-813-5982/ 540- IIHS    TDT    MHSS
                            Culpeper/                                                                                          22747/   825-0705/ 703-257-
                            Manassas/                                                                                          20110/   6000
                            Warrenton                                                                                          20189
Northern VA   Arlington     Annandale         Arlington                         Phillips Family Partners                       22003    703-941-3471       IIHS
Northern      Arlington     Manassas          Arlington                         Virginia Home Based Counseling, PC             22209    703-367-7800       IIHS           MHSS
Northern      Arlington     Arlington         Arlington                         Virginia Support Services, PC                  22209    703-367-7800                      MHSS
Northern      Arlington     Centreville       Alexandria, Arlington, Loudoun, Walking with you….. LLC                          20121    703-659-1292       IIHS                   10/12/2013
                                              Fairfax, Prince William, Fauqier
                                              County

BLUE RIDGE




                                                                                           Page 3 of 104
                                                                          DMAS PROVIDER LIST for VICAP
                                     The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                    February2013
                                                                                                                                                                         License
   Region       CSB/BHA      Location           Areas Served/Notes                        Company Name                    Zip        Phone       IIHS    TDT    MHSS    Expiration

Southwestern Blue Ridge   Roanoke City,    Roanoke City, Roanoke County, Bu A Better Life Counseling Svc. LLC           24018   540-915-9596   IIHS            MHSS
                                                                                                                                                                          Date

                          Roanoke
                          County,
                          Buchanan,
                          Troutville,
                          Montgomery,
                          Franklin,
                          Botetourt
                          Counties, Salem,
                          Blacksburg,
                          Christiansburg

Southwestern Blue Ridge   Roanoke         Roanoke City, Roanoke County,     A Better Life Counseling Svc. LLC           24018   540-915-9596   IIHS            MHSS
                                          Salem, Botetourt, Troutville
Southwestern Blue Ridge   Roanoke         Botetourt, Craig, Roanoke         Blue Ridge Behavioral Healthcare            24016   540-344-4042            TDT
                                          Counties, Cities of Roanoke and
                                          Salem
Southwestern Blue Ridge   Roanoke         Roanoke                           Blue Ridge Behavioral Healthcare            24018   540-345-0039   IIHS
Southwestern Blue Ridge   Roanoke         Botetourt, Craig, Roanoke         Blue Ridge Behavioral Healthcare            24018   540-345-0039   IIHS
                                          Counties, Cities of Roanoke and
                                          Salem
Southwestern Blue Ridge   Roanoke                                           Braley & Thompson, Inc                      24018   540-345-0039                   MHSS
Southwestern Blue Ridge   Roanoke       Roanoke City, Roanoke County,       Centra Health, Inc                          24015   540-525-8447   IIHS
                                        Salem, Vinton
Southwestern Blue Ridge   Roanoke/Salem Roanoke County, Roanoke City,       Creative Family Solutions Inc               24153   540-562-0707                   MHSS    11/9/2013
                                        Salem City, Botetourt County
Southwestern Blue Ridge   Roanoke       Roanoke, Lynchburg, Danville        DePaul Community Resources                  24019   540-265-8923   IIHS            MHSS    7/31/2013
Southwestern Blue Ridge   Roanoke       Greater Roanoke Area                Dominion Day Services                       24012   855-444-9838   IIHS     TDT    MHSS    10/28/2013
Southwestern Blue Ridge   Roanoke       County of Roanoke, City of          Family Insight, PC                          24018   540-266-7550   IIHS            MHSS    5/26/2013
                                        Roanoke County of Botetourt,
                                        County of Craig, City of Salem
Southwestern Blue Ridge   Roanoke       Roanoke, Botetourt, Salem, Craig,   Family Preservation Services- Roanoke       24012   540-344-9501   IIHS     TDT    MHSS

Southwestern Blue Ridge   Roanoke         Roanoke City, Roanoke County,     Family Service of Roanoke Valley            24016   540-563-5316   IIHS     TDT
                                          Salem, Vinton                                                                         x3006
Southwestern Blue Ridge   Roanoke         Roanoke, Martinsville, Henry,     Intercept Youth Services, Inc                       540-344-7700   IIHS     TDT    MHSS
                                          Franklin, Lexington, Stanton,
                                          Rockbridge
Southwestern Blue Ridge   Roanoke                                           Lutheran Family Services of Virginia, Inc   24018   540-774-7100   IIHS     TDT
Southwestern Blue Ridge   Roanoke         Roanoke, Salem, Botetourt,        National Counseling Group, Inc.             24018   540-776-0716   IIHS     TDT    MHSS    9/25/2015
                                          Montgomery, Bedford, Franklin,
                                          Lynchburg, Craig
Southwestern Blue Ridge   Roanoke                                           United Support Services, LLC                24018   540-904-6032   IIHS     TDT    MHSS    9/8/2013



                                                                                       Page 4 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                            License
   Region        CSB/BHA       Location           Areas Served/Notes                          Company Name                  Zip        Phone        IIHS    TDT    MHSS    Expiration

Southwestern Blue Ridge     Roanoke Valley Roanoke Valley                       Youth Advocate Programs, INC              24018   540-342-1261   IIHS
                                                                                                                                                                             Date




Northwestern Central VA     Lynchburg       Amherst, Bedford, South Boston, Anderson Counseling Services                  24502   434-239-2004   IIHS      TDT    MHSS
CENTRAL VIRGINIA

                                            Halifax, Meclinburg

Northwestern Central VA     Lynchburg             Lynchburg, Amherst,           Aunt Gwen's Place, LLC                    24502   434-944-4782                    MHSS    6/24/2013
                                                Appomattox, Bedford and
                                                       Campbell
Northwestern Central VA     Lynchburg                                           Braley & Thompson, Inc                    24502   434-832-1326                    MHSS
Northwestern Central VA     Lynchburg        Lynchburg City, Appomatox City,    Centra Health, Inc                        24503   540-525-8447   IIHS      TDT
                                             Appomatox County, Amherst
                                             City, Amherst County, Altavista,
                                             Campbell County, Bedford City,
                                             Bedford County
Northwestern Central VA     Central Virginia Amherst, Appomattox, Bedford &     Central Virginia Community Services               434-948-4831   IIHS      TDT
                                             Campbell Counties and Cities of
                                             Bedford & Lynchburg
Northwestern Central VA     Lynchburg        Altavista, Amherst, Madison        Central Virginia Community Services       24501   434-948-4831             TDT
                                             Heights, Appomattox, Lynchburg,
                                             Brookneal, Forrest
Northwestern Central VA     Lynchburg        Amherst County, Appomattox         Creative Family Solutions Inc             24501   434-528-3982                    MHSS    11/9/2013
                                             County, Bedford County,
                                             Campbell County, Lynchburg City

Northwestern   Central VA   Lynchburg       Roanoke, Lynchburg, Danville        DePaul Community Resources                24019   540-265-8923   IIHS             MHSS    7/31/2013
Northwestern   Central VA   Roanoke         Greater Lynchburg Area              Dominion Day Services                     24501   855-444-9838   IIHS      TDT    MHSS    10/28/2013
Northwestern   Central VA   Lynchburg                                           Family Impact, Inc.                       24502   434-582-1460   IIHS
Northwestern   Central VA   Lynchburg       Lynchurg, Campbell, Bedford,        Family Preservation Services- Lynchburg   24502   434-528-9711   IIHS      TDT    MHSS
                                            Amherst
Northwestern   Central VA   Gladys                                              Harvest Outreach Center, Inc              24554   434-283-5340             TDT            4/14/2013
Northwestern   Central VA   Lynchburg                                           Innovative Family Consultants, Inc        24502   434-455-5033   IIHS
Northwestern   Central VA   Lynchburg                                           Jesse Calloway's Family Services          24504   None Listed    IIHS
Northwestern   Central VA   Lynchburg       Amherst, Appomattox, Bedford        Living Water Counseling Center, Inc       24502   434-473-7458   IIHS
                                            City/County, Danville,
                                            Pittsylvania County, Campbell
                                            County, Lynchburg, and Franklin
                                            County
Northwestern Central VA     Bedford         Bedford, Campbell, Roanoke,     Lutheran Family Services of Virginia, Inc     24523   540-586-3623   IIHS
                                            Botetourt, Lynchburg
Northwestern Central VA     Lynchburg       Bedford, Campbell, Roanoke,     Lutheran Family Services of Virginia, Inc     24523   540-586-3623   IIHS
                                            Botetourt, Lynchburg



                                                                                           Page 5 of 104
                                                                                DMAS PROVIDER LIST for VICAP
                                           The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                          February2013
                                                                                                                                                                                License
   Region        CSB/BHA         Location            Areas Served/Notes                      Company Name                     Zip        Phone         IIHS    TDT    MHSS     Expiration

Northwestern Central VA       Roanoke          Roanoke, Salem, Botetourt,       National Counseling Group, Inc.             24018   540-776-0716      IIH     TDT    MHSS    9/25/2015
                                                                                                                                                                                 Date

                                               Montgomery, Bedford, Franklin,
                                               Lynchburg, Craig
Northwestern Central VA       Richmond         Amherst, Bedford, Lynchburg,     New Directions Community Outreach           23230   434-372-3002 or   IIHS                   2/28/2013
                                               Campbell, Appomattox, Prince     Services                                            804-943-9921
                                               Edward
Northwestern Central VA       Lynchburg        Amherst, Appomattox, Bedford,    Presbyterian Homes & Family Services Inc    24503   434-384-3131      IIHS    TDT    MHSS
                                               Campbell, Lynchburg                                                                  x3627
Northwestern Central VA       Lynchburg                                         Rice Counseling and Associates, Inc         24502   434-316-9006      IIHS           MHSS
Northwestern Central VA       Lynchburg        Lynchburg, Appomattox,           Strategic Therapy Associates, Inc           24502   434-237-9450      IIHS    TDT    MHSS    1/16/2013
                                               Amherst, Bedford, Campbell
Northwestern Central VA       Lynchburg                                         The Madeline Centre, Inc                    24502   434-239-0003      IIHS    TDT
Northwestern Central Virginia Farmville/       Amherst (city and county),       The Madeline Centre, Inc                    24502   434-239-0003      IIHS    TDT    MHSS
                              Lynchburg        Appomattox (city and county),
                                               Bedford (city and county),
                                               Campbell, Lynchburg
Northwestern Central VA       Lynchburg        Amherst, Appomattox, Bedford, The Madeline Centre, Inc.                      24502   434-239-0003      IIHS    TDT            6/18/2014
                                               Campbell, Lynchburg
Northwestern Central VA       North            Richmond, Chesterfield, Henrico, Therapeutic Alliance                        23235   804-404-2686      IIHS           MHSS    2/22/2013
                              Chesterfield     Hanover, Petersburg, Colonial                                                                                                 6/27/13
                                               Heights, Tri-City Area, Amelia

Northwestern Central VA       Amherst          City of Lynchburg, Bedford,   Virginia Home Based Counseling, PC             24521   434-238-7308      IIHS           MHSS
                                               Amherst, Appomattox, Campbell
                                               & Nelson Counties
Northwestern Central VA       Amherst          City of Lynchberg, Bedford,   Virginia Support Services, PC                  24521   434-238-7308                     MHSS
                                               Amherst, Appomattox, Campbell
                                               & Nelson Counties
Northwestern Central VA       Richmond         Appomattox                    YES Kids Count LLC                             23227   804-264-2964      IIHS

Eastern      Chesapeake       Norfolk          All of Tidewater                 Barry Robinson Center Home Base Services 23502      757-455-6100      IIHS
CHESAPEAKE


Eastern       Chesapeake      Chesapeake                                        Best Practices Coaching Counseling          23323   757-333-1421      IIHS
                                                                                Consultation & Training
Eastern       Chesapeake      Chesapeake                                        Braley & Thompson, Inc                      23320   757-420-6203                     MHSS
Eastern       Chesapeake      Chesapeake       Chesapeake                       Chesapeake Community Services               23320   757-547-9334              TDT
Eastern       Chesapeake      Chesapeake       Chesapeake                       Chesapeake Community Services               23320                     IIHS
Eastern       Chesapeake      Norfolk          Norfolk                          Compass Youth & Family Services             23513   757-289-5885      IIHS           MHSS
Eastern       Chesapeake      Virginia Beach   Virginia Beach, Norfolk,         Cornerstone Service Intervention Systems,   23455   757-464-2470      IIHS                   11/1/2013
                                               Chesapeake, Portsmouth, Suffolk, LLC
                                               Smithfield
Eastern       Chesapeake      Virginia Beach   Chesapeake                       Crescent Counseling & Casework Services,    23452   757-431-0105      IIHS
                                                                                Inc



                                                                                           Page 6 of 104
                                                                          DMAS PROVIDER LIST for VICAP
                                     The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                    February2013
                                                                                                                                                                              License
   Region      CSB/BHA       Location            Areas Served/Notes                        Company Name                    Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern      Chesapeake   Virginia Beach   Chesapeake                        Family and Youth Foundations                         757-380-0385
                                                                                                                                                                               Date

Eastern VA   Chesapeake   Belle Haven      Chesapeake                        Family Preservation Services- Eastern       23306,   757-442-7690/757- IIHS     TDT    MHSS
                                                                             Shore/Hampton/ Norfolk                      23666,   838-8520/ 757-455-
                                                                                                                         23502    8300

Eastern      Chesapeake   Chesapeake                                         Family Redirection Institute, Inc           23321    757-398-0200       IIHS    TDT
Eastern      Chesapeake   Chesapeake       Norfolk, Portsmouth, Virginia     First Home Care                             23704    757-393-9300       IIHS    TDT    MHSS
                                           Beach, Suffolk, Newport News,
                                           Chesapeake, Isle of Wight
Eastern      Chesapeake   Newport News     Hampton, Newport News,            GYG Mental Health Agency                    23605    757-595-8008       IIHS           MHSS    8/27/2013
                                           Franklin, York, Norfolk, Virginia
                                           Beach Chesapeake, Williamsburg,
                                           Suffolk, Portsmouth, Isle of
                                           Wright, Poquoson

Eastern      Chesapeake   Hampton          Tidewater Area                    Hampton Mental Health Assoc.,               23666    757-826-7516, 757- IIHS           MHSS
                                                                             Inc/Tidewater Mental Health In-Home                  896-6303, 757-622-
                                                                             Services                                             7012
Eastern      Chesapeake   Chesapeake                                         Institute for Family Centered Services-     23320    757-494-1997       IIHS           MHSS    11/30/2013
                                                                             Southeastern VA
Eastern      Chesapeake   Newport News     Chesapeake                        Intensive In-Home Counseling & Mentoring    23605    757-706-3381       IIHS    TDT    MHSS
                                                                             Division (IIHMD) of Destiny's House

Eastern      Chesapeake   Portsmouth       Norfolk, Portsmouth, Virginia     James Bentley Treatment Program             23704    757-399-3025       IIHS    TDT    MHSS
                                           Beach, Suffolk, Newport News,
                                           Chesapeake, Isle of Wight
Eastern      Chesapeake   Franklin City    Chesapeake                        LEVOC Family Services                       23851    757-737-7895       IIHS           MHSS    2/8/2013
Eastern VA   Cheapeake    Richmond         Chesapeake                        Life Changers MH & Supportive Services of   23224    804-310-2444       IIHS           MHSS
                                                                             VA, Inc
Eastern      Chesapeake   Hampton          Chesapeake                        Lutheran Family Services of Virginia, Inc   23666    757-722-4707       IIHS
Eastern VA   Chesapeake   Virginia Beach   Chesapeake, City of Suffolk, City National Counseling Group, Inc.             23462    757-467-8184       IIHS    TDT    MHSS    9/25/2015
                                           of Norfolk, Portsmouth, Virginia
                                           Beach
Eastern      Chesapeake                    Hampton Roads Area, Suffolk,      Pathways to Life, Inc.                      23502    757-395-4122       IIHS           MHSS    11/11/2013
                                           Franklin, Richmond, Petersburg,
                                           Dinwiddie, Emporia, Chesterfield,
                                           Hopewell

Eastern      Chesapeake   Chesapeake                                         Positive Pathways, Inc                      23325    757-543-1870       IIHS           MHSS
Eastern      Chesapeake   Chesapeake                                         Restorer of Broken Walls, P.C.              23320    757-672-2600       IIHS           MHSS
Eastern      Chesapeake   Hampton          Chesapeake, Norfolk, Hampton      Second Chance Youth Services, LLC           23666    757-262-2002       IIHS                   8/7/2013
                                           Roads, Newport News, Suffolk,
                                           Franklin, Wiliamsburg



                                                                                        Page 7 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013
                                                                                                                                                                                License
   Region       CSB/BHA        Location            Areas Served/Notes                          Company Name                    Zip        Phone         IIHS    TDT    MHSS    Expiration

Eastern      Chesapeake     Chesapeake                                           Stepping Stone Family Services, Inc         23320   757-673-8117      IIHS           MHSS
                                                                                                                                                                                 Date

Eastern      Chesapeake     Norfolk          Norfolk, Virginia Beach, Suffolk,   TALK Family of VA LLC                       23523   757-248-8255      IIHS
                                             Franklin, Portsmouth, Hampton,
                                             Chesapeake and Newport News

Eastern VA   Chesapeake     Belle Haven      Chesapeake                          Therapeutic Interventions, Inc              23306   757-442-6148      IIHS    TDT    MHSS    1/8/2013
Eastern      Chesapeake     Hampton          Chesapeake                          Virginia Home Based Counseling PC           23432   757-846-7222      IIHS
Eastern      Chesapeake     Hampton          Hampton, Chesapeake, Norfolk,       Virginia Support Services, PC               23666   757-508-9209 757-                MHSS    4/29/2013
                                             Virginia Beach, Newport News,                                                           969-3506
                                             Willliamsburg, York County
Eastern      Chesapeake     Virginia Beach   Chesapeake                          Youth and Family Counseling Services, Inc   23452   757-499-4320      IIHS


Central     Chesterfield    Richmond         Chesterfield                        Attachment & Trauma Institute, LLC          23228   804-901-7911      IIHS    TDT    MHSS    3/3/2013
CHESTERFIELD

Virginia
Central     Chesterfield    Richmond         Chesterfield                        Center for Child & Family Services, Inc     23229   804-282-0003      IIHS    TDT    MHSS    3/21/2012
Virginia
Central     Chesterfield    Chesterfield     Chesterfield                        Chesterfield Community Services Board       23832   804-768-7245                     MHSS    2/8/2012
Virginia
Central     Chesterfield    Richmond         Richmond, Chesterfield County       Counseling Alliance of Virginia             23294   804-346-5165      IIHS                   5/29/2012
Virginia                                     and Henrico County
Central     Chesterfield    Midlothian                                           Counseling and Advocacy Associates, LLC     23112   804-426-1419      IIHS           MHSS    6/2/2013
Virginia
Central     Chesterfield    Richmond         Chesterfield                        Creative Youth Concepts Inc                 23222   804-525-4101      IIHS    TDT
Virginia
Central     Chesterfield    Lynchburg        Chesterfield                        Dimension Youth Services                    23005   804-752-7582      IIHS           MHSS
Virginia
Central     Chesterfield    Richmond         Greater Richmond Area               Dominion Day Services                       23225   1-855-444-9838    IIHS    TDT    MHSS    10/28/2013
Virginia
Central     Chesterfield    Goochland        Statewide                           Elk Hill Farm, Inc                          23063   804-457-4866      IIHS    TDT    MHSS    5/21/2014
Virginia
Central     Chesterfield    Richmond         Richmond, Chesterfield, Henrico, Empowering Youth for Positive Change           23222   804-908-6088      IIHS
Virginia                                     Hanover, Petersburg, Tri-City
                                             Area
Central      Chesterfield   Henrico          Henrico, Hanover, Chesterfield, EZETT Youth & Family Services                   23075   804-252-9391      IIH                    4/18/2013
Virginia                                     Greater Richmond and Tri-Cities

Central      Chesterfield   Richmond         Chesterfield, Colonial Heights,     Family & Community Support Systems, LLC     23294   804-762-8716      IIHS           MHSS    4/10/2013
Virginia                                     Hopewell, Hanover, Henrico,
                                             Powatan, Richmond
Central      Chesterfield   Chester                                              Family Guidance, Inc                        23831   804-454-1365      IIHS
Virginia
Central      Chesterfield   Richmond         Chesterfield                        Family Insight, PC                          23236   804-562-9997      IIHS           MHSS    5/26/2013
Virginia



                                                                                            Page 8 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                   License
   Region     CSB/BHA         Location            Areas Served/Notes                          Company Name                      Zip          Phone         IIHS    TDT    MHSS    Expiration

Central     Chesterfield   Petersburg       Chesterfield, Chester               Good Neighbor Counseling, Inc                 23805    804-520-4555       IIHS    TDT    MHSS
                                                                                                                                                                                    Date

Virginia
Central     Chesterfield   Richmond         Chester                             Hargrove Oliver Parker, Inc                   23225    804-247-3195       IIHS           MHSS    3/22/2014
Virginia
Central     Chesterfield   Richmond         Richmond, Henrico, Chesterfield Help Your Way                                     23230    804-562-6604       IIHS           MHSS    1/31/2013
Virginia
Central     Chesterfield   Richmond         Richmond, Henrico, Chesterfield,    IFCS-Institute for Family Centered Services   23294    804-290-0297       IIHS           MHSS    11/1/2013
Virginia                                    Hanover, Petersburg, Colonial
                                            Heights
Central     Chesterfield   Richmond         Richmond, Henrico, Chesterfield,    Intercept Youth Services, Inc                          804-612-3330       IIHS    TDT    MHSS
Virginia                                    Hanover, Petersburg, Colonial
                                            Heights
Central     Chesterfield   Richmond         Richmond, Chesterfield, Henrico,    LIFE Young Adult Services, LLC                23230    804-562-3241       IIHS           MHSS    8/18/2013
Virginia                                    Hanover, Petersburg, Tri-City                                                                                                        4/22/2012
                                            Area
Central     Chesterfield   Petersburg       Petersburg, Colonial Heights,       National Counseling Group, Inc.               23805    804-767-3470       IIHS           MHSS    9/25/2015
Virginia                                    Hopewell, Prince George,
                                            Dinwiddie, Sussex, Chesterfield
Central     Chesterfield   Emporia/         Chester, Chesterfield               NDUTIME Youth and Family Services, Inc        23487,   434-336-1350/ 804- IIHS    TDT    MHSS    11/24/2013
Virginia                   Richmond/                                                                                          23220,   612-4896/ 804-303-
                           Henrico                                                                                            23231    8396
Central     Chesterfield   Richmond         Chesterfield                        New Directions Community Outreach             23230    804-943-9921or     IIHS                   2/28/2013
Virginia                                                                        Services                                               804-447-8419
Central     Chesterfield                    Hampton Roads Area, Suffolk,        Pathways to Life, Inc.                        23502    757-395-4122       IIHS           MHSS    11/11/2013
Virginia                                    Franklin, Richmond, Petersburg,
                                            Dinwiddie, Emporia, Chesterfield,
                                            Hopewell

Central     Chesterfield   Colonial Heights Chesterfield, Chester               Omega II Therapeutic After School Day         23834    804-526-5896               TDT
Virginia                                                                        Treatment Services
Central     Chesterfield   Petersburg       Chesterfield                        Specialized Youth Services of Virginia        23803    804-733-4728/ 804- IIHS    TDT            10/21/2013
Virginia                                                                                                                               895-4355
Central     Chesterfield   Richmond         Richmond, Henrico, Chesterfield Stepping Stones Toward The Future, LLC            23225    804-320-0264       IIHS           MHSS
Virginia
Central     Chesterfield   Richmond         Chesterfield                        The Center for Counseling and Community       23150    804-357-2446       IIHS           MHSS
Virginia                                                                        Affairs
Central     Chesterfield   Richmond         Chesterfield                        The MARCS Agency                              23219    804-644-4444       IIHS                   6/6/2014
Virginia
Central     Chesterfield   Richmond         Chesterfield                        The New Y-CAPP, Inc-DTX                       23220    804-225-9144       IIHS    TDT    MHSS
Virginia
Central     Chesterfield   North            Richmond, Chesterfield, Henrico, Therapeutic Alliance                             23235    804-404-2686       IIHS           MHSS    2/22/2013
Virginia                   Chesterfield     Hanover, Petersburg, Tri-City                                                                                                        6/27/13
                                            Area, Colonial Heights, Amelia




                                                                                           Page 9 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                    License
   Region       CSB/BHA         Location            Areas Served/Notes                        Company Name                      Zip         Phone         IIHS    TDT      MHSS    Expiration

Central      Chesterfield    Richmond         Chesterfield                      Virginia Home Based Counseling, PC            23806    804-332-4154      IIHS
                                                                                                                                                                                     Date

Virginia
Central      Henrico,        Richmond         Greater Richmond Area,            Virginia Support Services                     23005    804-332-4154                       MHSS    4/29/2013
Virginia     Hanover,                         Petersburg, Hopewell, Chester,
             Chesterfield,                    Ashland, Colonial Heights,
             District 19,                     Chesterfield, Henrico
             RBHA
Central      Chesterfield    Chesterfield     Chesterfield                      Wilkerson's Consultants                       23834    804-279-9401      IIHS    TDT
Virginia
Central      Chesterfield    Richmond         Chesterfield                      YES Kids Count LLC                            23227    804-264-2964      IIHS
Virginia
Central      Chesterfield    Richmond         Chesterfield County               Youth Residential Services of Virginia, Inc   23226    804-310-2446              TDT
Virginia

Eastern      Colonial        Hampton          Newport News, Hampton,            (C.A.T.C.H) Concerned Adults Teaching         23669    757-814-7850      IIHS
COLONIAL

                                              Williamsburg, Norfolk, Suffolk,   Children Hope, LLC
                                              Virginia Beach
Eastern      Colonial        Hampton          Newport News, Hampton,            (C.A.T.C.H) Concerned Adults Teaching         23669    757-814-7850      IIHS
                                              Williamsburg, Norfolk, Suffolk,   Children Hope, LLC
                                              Virginia Beach
Eastern      Colonial        Williamsburg     York County, James City County,   Colonial Behavioral Health                    23185    757-253-4044      IIHS    TDT      MHSS
                                              Cities of Poquoson and
                                              Williamsburg
Eastern      Colonial        Poquoson         Poquoson                          Compass Youth & Family Services               23513    757-289-5885      IIHS             MHSS
Eastern      Colonial        Williamsburg     Hampton, Newport News,            Connect Youth and Family Services, LLC        23693    804-937-3688              TDT &
                                              Williamsburg, York County,                                                                                         after
                                              James City                                                                                                         school
                                                                                                                                                                 TDT
Eastern      Colonial        Williamsburg                                       Crescent Counseling & Casework Services,      23452    757-431-0105      IIHS
                                                                                Inc
Eastern      Colonial        Williamsburg                                       Destiny's House Residential Services, LLC     23185    757-903-4236      IIHS
Eastern      Colonial        Newport News     James City, Poquoson, York        Dominion Day Services                         23607    1-855-444-9838    IIHS    TDT      MHSS    10/28/2013
                                              County, Williamsburg
Eastern      Colonial        Virginia Beach   Williamsburg                      Family and Youth Foundations                           757-380-0385
Eastern VA   Colonial        Belle Haven       York, Poquoson, Williamsburg,    Family Preservation Services- Eastern         23306,   757-442-7690/757- IIHS    TDT      MHSS
                                              James City                        Shore/Hampton/ Norfolk                        23666,   838-8520/ 757-455-
                                                                                                                              23502    8300

Eastern      Colonial        Hampton          York County, James City County,   Family Preservation Services- Peninsula       23666    757-838-8520      IIHS    TDT      MHSS
                                              Cities of Poquoson and
                                              Williamsburg
Eastern      Colonial        Williamsburg     James City County, City Of        Family Priority LLC                           23185    757-645-3860      IIHS
                                              Williamsburg, York County,
                                              Poquoson


                                                                                          Page 10 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                                 License
   Region      CSB/BHA       Location            Areas Served/Notes                         Company Name                      Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern      Colonial     Portsmouth        York County, James City County,   First Home Care                               23704    757-393-9300       IIHS    TDT    MHSS
                                                                                                                                                                                  Date

                                            Cities of Poquoson and
                                            Williamsburg
Eastern      Colonial     Hampton           Hampton, Newport News             Hampton-Newport News Community                23666    757-788-0033       IIHS    TDT    MHSS
                                                                              Services Board
Eastern      Colonial     Newport News      Hampton, Newport News,            IFCS-Institute for Family Centered Services   23606    757-597-7024       IIHS           MHSS    11/1/2013
                                            Williamsburg, York and James
                                            City Counties
Eastern      Colonial     Newport News      York County, James City County, Intensive In-Home Counseling & Mentoring        23605    757-706-3381       IIHS    TDT    MHSS
                                            Wiliamsburg                     Division (IIHMD) of Destiny's House

Eastern      Colonial     Franklin City     James City                        LEVOC Family Services                         23851    757-737-7895       IIHS           MHSS    2/8/2013
Eastern VA   Colonial     Richmond          Williamsburg                      Life Changers MH & Supportive Services of     23224    804-310-2444       IIHS           MHSS
                                                                              VA, Inc
Eastern      Colonial     Hampton           Williamsburg                      Lutheran Family Services of Virginia, Inc     23666    757-722-4707       IIHS
Eastern VA   Colonial     Virginia Beach,   York County, Williamsburg,        National Counseling Group, Inc.               23462,   757-467-8184/ 757- IIHS    TDT    MHSS    9/25/2012
                          Eastern Shore,    James City County, Poquoson                                                     23350,   442-6746 / 757-
                          Newport News                                                                                      23606    240-5595
Eastern      Colonial     Hampton           Williamsburg                      The New Y-CAPP, Inc-DTX                       23666    757-595-3285       IIHS    TDT
Eastern      Colonial                       Hampton Roads Area, Suffolk,      Pathways to Life, Inc.                        23502    757-395-4122       IIHS           MHSS    11/11/2013
                                            Franklin, Richmond, Petersburg,
                                            Dinwiddie, Emporia, Chesterfield,
                                            Hopewell

Eastern      Colonial     Newport News      Williamsburg, York County,        Unison Mental Health                          23605    757-706-3382                      MHSS
                                            James City County, Poquoson
Eastern      Colonial     Hampton           Williamsburg, York County         Virginia Home Based Counseling PC             23432    757-846-7222       IIHS
Eastern      Colonial     Hampton           Williamsburg, York County         Virginia Support Services, PC                 23432    757-846-7222                      MHSS

Central      Crossroads   Richmond          Amelia                            Brother's Keeper, Inc                         23230    804-852-1347       IIHS    TDT
CROSSROADS

Virginia
Central      Crossroads   Richmond          Amelia, Buckingham, Charlotte,    Center for Child & Family Services, Inc       23229    804-282-0003       IIHS    TDT    MHSS
Virginia                                    Cumberland, Lunenburg,
                                            Nottoway and Price Edward
Central      Crossroads   Farmville         Ameila, Buckingham, Charlotte,    Crossroads Community Services Board           23901    434-392-3187                      MHSS
Virginia                                    Cumberland, Lunenburg,
                                            Nottoway and Price Edward
Central      Crossroads   Farmville         Buckingham                        Crossroads Community Services Board           23901    434-392-3187               TDT
Virginia
Central      Crossroads   Richmond          Amelia, Buckingham,               Dimension Youth Services                      23005    804-752-7582       IIHS           MHSS
Virginia                                    Cumberland,Prince Edward,
                                            Prince George, Nottoway



                                                                                        Page 11 of 104
                                                                            DMAS PROVIDER LIST for VICAP
                                       The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                      February2013
                                                                                                                                                                               License
   Region      CSB/BHA       Location             Areas Served/Notes                          Company Name                  Zip         Phone         IIHS    TDT    MHSS     Expiration

Central      Crossroads   Richmond          Greater Richmond Area               Dominion Day Services                     23225   1-855-444-9838     IIHS           MHSS    10/28/2013
                                                                                                                                                                                Date

Virginia
Central      Crossroads   Goochland         Statewide                           Elk Hill Farm, Inc                        23063   804-457-4866       IIHS    TDT    MHSS    5/21/2014
Virginia
Central      Crossroads   Charlottesville   Buckingham                          Empowering Families Program-Daniel L.     22701   434-971-8454       IIHS    TDT    MHSS
Virginia                                                                        Price                                     22903
Central      Crossroads   Farmville         Amelia, Appomattox,                 Family Preservation Services- Farmville   23901   434-392-3328       IIHS    TDT    MHSS
Virginia                                    Buckingham, Cumberland,
                                            Nottoway, Prince Edward
Central      Crossroads   Victoria          Brunswick, Charlotte, Lunenberg, Family Preservation Services- Kenbridge      23974   434-696-4633       IIHS    TDT    MHSS
Virginia                                    Mecklenburg, Powhatan

Central      Crossroads   Petersburg        Amelia                              Good Neighbor Counseling, Inc             23805   804-520-4555       IIHS    TDT    MHSS
Virginia
Central      Crossroads   Richmond          Lunenberg, Farmville, Charlotte, New Directions Community Outreach            23230   434-372-3002 or    IIHS                   2/28/2013
Virginia                                    Nottoway, Amelia, Cumberland, Services                                                804-943-9921
                                            Buckingham, Campbell, Prince
                                            Edward
Central      Crossroads   Lynchburg         Patrick, Henry, Pittsylvania,    Presbyterian Homes & Family Services Inc     24503   434-384-3131       IIHS    TDT    MHSS    11/2/2012,
Virginia                                    Halifax, Mecklenburg, Brunswick,                                                      x3627                                     8/22/2012,
                                            Franklin, Campbell, Bedford,                                                                                                    11/02/2012
                                            Lynchburg, Appomattox,
                                            Amherst, Goochland, Powhatan,

Central      Crossroads   Petersburg        Amelia                              Specialized Youth Services of Virginia    23803   804-733-4728/ 804- IIHS    TDT            10/21/2013
Virginia                                                                                                                          895-4355
Central      Crossroads   Danville          Daniville, Pittsylvania, Halifax,   Strategic Therapy Associates, Inc         24543   434-237-9450       IIHS    TDT    MHSS    1/1/2016
Virginia                                    Lynchburg, Appomattox,                                                                                                          2/1/2014
                                            Amherst, Campbell, Bedford
Central      Crossroads   Richmond          Buckingham, Cumberland,             The Center for Counseling and Community   23150   804-357-2446       IIHS           MHSS
Virginia                                    Amelia, Prince Edward,              Affairs
                                            Nottoway, Lunenberg,
                                            Mecklenburg
Central VA   Crossroads   Farmville/        Prince Edward                       The Madeline Centre, Inc                  24502   434-239-0003       IIHS    TDT    MHSS
                          Lynchburg
Central      Crossroads   Lynchburg         Charlotte                           The Madeline Centre, Inc.                 24502   434-239-0003       IIHS    TDT            6/18/2014
Virginia
Central      Crossroads   Farmville                                             Virginia Youth Outreach Services, Inc     23901   434-395-1200       IIHS                   2/27/2013
Virginia
Central      Crossroads   North             Richmond, Chesterfield, Henrico, Therapeutic Alliance                         23235   804-404-2686       IIHS    TDT    MHSS    2/22/2013
Virginia                  Chesterfield      Hanover, Petersburg, Colonial                                                                                                   6/27/13
                                            Heights, Tri-City Area, Amelia

Central      Crossroads   Richmond          Amelia, Buckingham, Charlotte,      YES Kids Count LLC                        23227   804-264-2964       IIHS



                                                                                          Page 12 of 104
                                                                               DMAS PROVIDER LIST for VICAP
                                          The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                         February2013
                                                                                                                                                                                License
   Region       CSB/BHA        Location             Areas Served/Notes                         Company Name                   Zip        Phone          IIHS    TDT    MHSS    Expiration
                                                                                                                                                                                 Date

Southwestern Cumberland     Roanoke           Buchanan                           A Better Life Counseling Svc. LLC          24018   540-915-9596       IIHS           MHSS
CUMBERLAND MOUNTAIN

             Mtn.
Southwestern Cumberland     Lebanon                                              Braley & Thompson, Inc                     24266   276-889-0006                      MHSS
             Mtn.
Southwestern Cumberland     Abingdon          Russell County                     Creative Family Solutions Inc              24210   276-628-4385                      MHSS    11/9/2013
             Mtn.
Southwestern Cumberland     Cedar Bluff       Lebanon, Cedar Bluff, Bluefield,   Cumberland Mountain Community Services 24609       276-964-0298               TDT
             Mtn.                             Grundy, Honaker, Tazewell
Southwestern Cumberland     Cumberland        Lebanon, Cedar Bluff, Bluefield,   Cumberland Mountain Community Services             276-964-6702                      MHSS
             Mtn.                             Grundy, Tazewell
Southwestern Cumberland     Cumberland        Lebanon, Cedar Bluff, Grundy,      Cumberland Mountain Community Services             276-964-0298       IIHS
             Mtn.                             Tazewell
Southwestern Cumberland     Tazewell                                             Cumberland Mountain Community Services 24609       276-964-0298       IIH
             Mtn.           County
Southwestern Cumberland     Buchanan                                             Cumberland Mountain Community Services 24609       276-964-0298       IIH
             Mtn.           County                                               Board
Southwestern Cumberland     Russell County                                       Cumberland mountain Community Services 24609       276-964-0298       IIH     TDT
             Mtn.                                                                Board
Southwestern Cumberland     Pounding Mill     Buchanan, Tazwell                  Family Preservation Services- Cedar Bluff 24637    276-963-3606       IIHS    TDT    MHSS

Southwestern Danville-      Danville                                             A New Inspiration                          24541   336-287-6402       IIHS           MHSS    3/14/2013
DANVILLE-PITTSYLVANIA

             Pittsylvania
Southwestern Danville-      Danville          Danville and surrounding           Alliant Consortium LLC                     24540   434-797-5550       IIHS    TDT    MHSS    12/18/2014
             Pittsylvania                     counties
Southwestern Danville-      Danville                                             Children & Family Community Development 24540      919-943-9106       IIHS
             Pittsylvania
Southwestern Danville-      Danville          Danville, Pittsylvania             Danville-Pittsylvania Community Services   24540   434-799-0456 ext                  MHSS
             Pittsylvania                                                                                                           3041
Southwestern Danville-      Danville          Danville and surrounding           DePaul Community Resources                 24019   540-265-8923       IIHS           MHSS    7/31/2013
             Pittsylvania                     counties
Southwestern Danville-      Goochland         Statewide                          Elk Hill Farm, Inc                         23063   804-457-4866       IIHS                   5/21/2014
             Pittsylvania
Southwestern Danville-                        Danville, Pittsylvania County      Kingdom Dominion , LLC                     24541   434-797-2024               TDT
             Pittsylvania
Southwestern Danville-      Lynchburg         Danville, Pittsylvania County      Living Water Counseling Center, Inc        24502   434-473-7458       IIHS
             Pittsylvania
Southwestern Danville-      Richmond          Pittsylvania, Danville             New Directions Community Outreach          23230   434-372-3002 or    IIHS                   2/28/2013
             Pittsylvania                                                        Services                                           804-943-9921
Southwestern Danville-                        Pittsylvania                       Presbyterian Homes & Family Services Inc   24503   434-384-3131       IIHS    TDT    MHSS
             Pittsylvania                                                                                                           x3627
Southwestern Danville-      Danville          Danville, Pittsylvania, Halifax,   Strategic Therapy Associates, Inc          24540   434-793-0567       IIHS    TDT            1/16/2013
             Pittsylvania                     Lynchburg, Appomattox,
                                              Amherst, Campbell, Bedford



                                                                                           Page 13 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013
                                                                                                                                                                                License
   Region        CSB/BHA       Location                Areas Served/Notes                      Company Name                    Zip         Phone        IIHS    TDT    MHSS    Expiration

Southwestern Danville-      Farmville/         Pittsylvania                      The Madeline Centre, Inc                   24502     434-239-0003     IIHS    TDT    MHSS
                                                                                                                                                                                 Date

             Pittsylvania   Lynchburg
Southwestern Danville-      Danville           Danville, Pittsylvania            The Madeline Centre,Inc.                   24541     434-239-0003     IIHS    TDT            6/18/2014
             Pittsylvania
Southwestern Danville-      Danville           Danville and surrounding          YES Kids Count LLC                         23227     804-264-2964     IIHS
             Pittsylvania                      counties

Southwestern Dickenson      Abingdon           Dickenson County                  Creative Family Solutions Inc              24210     276-628-4385                    MHSS    11/9/2013
DICKENSON



Central      District 19    Petersburg                                           AGAPE Unlimited Inc                        23803     804-677-9570     IIHS           MHSS    4/8/2013
DISTRICT 19

Virginia
Central      District 19    Petersburg                                           Alternative Counseling Group               23805     804-722-8211     IIHS    TDT
Virginia
Central      District 19    Petersburg         Petersburg/Richmond               Associated Educational Services of Virginia, 23222   804-321-2777     IIHS    TDT
Virginia                                                                         Inc
Central      District 19    Colonial Heights                                     Associates In Counseling (ACTS)              23834   804-526-7854     IIHS    TDT
Virginia
Central      District 19    Richmond           Colonial Heights, Hopewell, King Attachment & Trauma Institute, LLC          23228     804-901-7911     IIHS    TDT    MHSS    3/3/2013
Virginia                                       William, King and Queen William

Central       District 19   Richmond           Surry                             Brother's Keeper, Inc                      23230     804-852-1347     IIHS    TDT
Virginia
Central       District 19   Richmond           Petersburg, Colonial Heights,     Center for Child & Family Services, Inc    23229     804-282-0003     IIHS    TDT    MHSS
Virginia                                       Dinwiddie, Hopewell, Greensville,
                                               Prince George, Sussex

Central       District 19   Richmond           Petersburg, Hopewell              Changing Faces Youth & Family Services     23230     804-353-2397     IIHS                   12/24/2013
Virginia
Central       District 19   Richmond           Petersburg, Tri-City Area         Creative Youth Concepts Inc                23222     804-525-4101     IIHS    TDT
Virginia
Central       District 19   Lynchburg          Chester, Prince George,            Dimension Youth Services                  23005     804-752-7582     IIHS           MHSS
Virginia                                       Hopewell, Chester, Colonial
                                               Heights, Dinwiddie
Central       District 19   Petersburg         Petersburg, Colonial Heights,      District 19 Community Services Board      23803     804-862-8002                    MHSS
Virginia                                       Dinwiddie, Hopewell, Emporia,
                                               Greensville, Prince George, Surry,
                                               Sussex
Central       District 19   Petersburg                                            Divine Residential Services               23803     804-863-4357     IIHS                   2/25/2014
Virginia
Central       District 19   Richmond           Greater Richmond Area             Dominion Day Services                      23225     1-855-444-9838   IIHS           MHSS    10/28/2013
Virginia
Central       District 19   Goochland          Statewide                         Elk Hill Farm, Inc                         23063     804-457-4866     IIHS    TDT    MHSS    5/21/2014
Virginia



                                                                                            Page 14 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                             License
   Region       CSB/BHA       Location            Areas Served/Notes                          Company Name                   Zip        Phone       IIHS    TDT    MHSS     Expiration

Central      District 19   Richmond         Richmond, Chesterfield, Henrico, Empowering Youth for Positive Change          23222   804-908-6088   IIHS                    11/7/2012
                                                                                                                                                                              Date

Virginia                                    Hanover, Petersburg, Tri-City
                                            Area
Central      District 19   Petersburg                                        Envision One                                  23805   804-519-6895   IIHS
Virginia
Central      District 19   Petersburg       Petersburg, Richmond,             Envision One, LLC                            23805   804-862-8300   IIHS
Virginia                                    Dinwiddie, Hopewell, Sussex,
                                            Greenville County
Central      District 19   Petersburg                                         Extreme Counseling Solutions                 23803   804-732-0177   IIHS
Virginia
Central      District 19   Richmond         Chesterfield, Colonial Heights,   Family & Community Support Systems, LLC      23294   804-762-8716   IIHS            MHSS    4/10/2013
Virginia                                    Hopewell, Hanover, Henrico,
                                            Powatan, Richmond
Central      District 19   Richmond         Petersburg, Hopewell,             Family Insight, PC                           23236   804-562-9997   IIHS            MHSS    5/26/2013
Virginia                                    Dinwiddie, Prince George,
                                            Greenville, Surry, Sussex,
                                            Colonial Heights, Emporia
Central      District 19   Petersburg       Petersburg, Dinwiddie, Colonial   Good Neighbor Counseling, Inc                23805   804-520-4555   IIHS     TDT    MHSS
Virginia                                    Heights, Hopewell
Central      District 19   Petersburg                                         Halo, Inc.                                   23805   804-733-9140   IIHS
Virginia
Central      District 19   Richmond         Petersburg, Hopewell, P. George, Hargrove Oliver Parker, Inc                   23225   804-247-3195   IIHS            MHSS    3/22/2014
Virginia                                    Emporia, and Colonial Heights

Central      District 19   Petersburg                                         HOPE Intensive In-Home Counseling, Inc.      23805   804-677-9570   IIHS
Virginia
Central      District 19   Richmond         Richmond, Henrico, Chesterfield, IFCS-Institute for Family Centered Services   23294   804-290-0297   IIHS            MHSS    11/1/2013
Virginia                                    Hanover, Petersburg, Colonial
                                            Heights
Central      District 19   Richmond         Richmond, Henrico, Chesterfield, Intercept Youth Services, Inc                         804-612-3330   IIHS     TDT    MHSS
Virginia                                    Hanover, Petersburg, Colonial
                                            Heights
Central      District 19   Jarratt                                           Jackson Field Homes                           23867   434-634-3217   IIHS
Virginia
Central      District 19   Petersburg                                         Karisma Consulting                           23803   804-862-4242   IIHS                    3/7/2013
Virginia
Central      District 19   Franklin City     Surry, Sussex                    LEVOC Family Services                        23851   757-737-7895   IIHS            MHSS    2/8/2013
Virginia
Central VA   District 19   Richmond         Colonial Heights, Prince George, Life Changers MH & Supportive Services of     23224   804-310-2444   IIHS            MHSS
                                            Dinwiddie, Emporia, Greensville, VA, Inc
                                            Hopewell, Sussex
Central      District 19   Richmond         Richmond, Chesterfield, Henrico, LIFE Young Adult Services, LLC                23230   804-562-3241   IIHS            MHSS
Virginia                                    Hanover, Petersburg, Tri-City
                                            Area



                                                                                           Page 15 of 104
                                                                            DMAS PROVIDER LIST for VICAP
                                       The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                      February2013
                                                                                                                                                                              License
   Region      CSB/BHA       Location            Areas Served/Notes                         Company Name                  Zip          Phone         IIHS    TDT    MHSS     Expiration

Central     District 19   Petersburg       Petersburg, Chesterfield, Colonial National Counseling Group, Inc.           23805    804-767-3470       IIHS           MHSS    9/25/2015
                                                                                                                                                                               Date

Virginia                                   Heights, Dinwiddie, Hopewell,
                                           Sussex
Central     District 19   Emporia/         Petersburg, Richmond, Hopewell, NDUTIME Youth and Family Services, Inc       23487,   434-336-1350/ 804- IIHS    TDT    MHSS    11/24/2013
Virginia                  Richmond/        Colonial Heights, Dinwiddie,                                                 23220,   612-4896/ 804-303-
                          Henrico          Prince George, Greenville County,                                            23230    8395
                                           Jarrett, Emporia, Surry, Sussex

Central     District 19   Emporia                                             NDUTIME Youth and Family Services, Inc    23487    434-336-1350       IIHS    TDT    MHSS    11/24/2013
Virginia
Central     District 19   Richmond         Colonial Heights, Prince George,   New Directions Community Outreach         23230    804-943-9921or     IIHS                   2/28/2013
Virginia                                   Dinwiddie, Emporia, Greensville,   Services                                           804-447-8419
                                           Hopewell, Sussex
Central     District 19   Colonial Heights Colonial Heights, Petersburg,      Omega II Therapeutic After School Day     23834    804-526-5896               TDT
Virginia                                   Greater Richmond Area, Chester,    Treatment Services
                                           Chesterfield
Central     District 19   Petersburg                                          Open Arms Family Services, Inc            23803    804-526-2395       IIHS
Virginia
Central     District 19                    Hampton Roads Area, Suffolk,      Pathways to Life, Inc.                     23502    757-395-4122       IIHS           MHSS    11/11/2013
Virginia                                   Franklin, Richmond, Petersburg,
                                           Dinwiddie, Emporia, Chesterfield,
                                           Hopewell

Central     District 19   Petersburg                                          Quality Healthcare, Inc                   23803    917-731-8267       IIHS
Virginia
Central     District 19   Petersburg                                          Second Chance Youth Services, LLC         23803    804-721-4488       IIHS
Virginia
Central     District 19   Petersburg       Chester, Colonial Heights,        Specialized Youth Services of Virginia     23803    804-733-4728/ 804- IIHS    TDT            10/21/2013
Virginia                                   Dinwiddie, Emporia, Greensville,                                                      895-4355
                                           Petersburg, Prince George, Surry,
                                           Sussex, and Southampton

Central     District 19   Danville         Danville, Pittsylvania, Halifax,   Strategic Therapy Associates, Inc         24543    434-237-9450       IIHS    TDT    MHSS    1/1/2016
Virgina                                    Lynchburg, Appomattox,                                                                                                          2/1/2014
                                           Amherst, Campbell, Bedford
Central     District 19   Petersburg                                          Taylor's Enhanced Living, Inc             23803    804-520-5944       IIHS           MHSS    7/22/2013
Virginia
Central     District 19   Richmond         Greensville, Dinwiddie, Sussex,    The Center for Counseling and Community   23150    804-357-2446       IIHS           MHSS
Virginia                                   Prince George, Hopewell            Affairs

Central     District 19   Richmond         Petersburg, Hopewell               The MARCS Agency                          23219    804-644-4444       IIHS                   6/6/2014
Virginia
Central     District 19   Richmond         Petersburg, Hopewell               The New Y-CAPP, Inc-DTX                   23220    804-225-9144       IIHS    TDT    MHSS
Virginia



                                                                                        Page 16 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                   License
   Region       CSB/BHA         Location           Areas Served/Notes                        Company Name                      Zip          Phone         IIHS    TDT    MHSS     Expiration

Central VA   District 19     Belle Haven     Prince George County              Therapeutic Interventions, Inc                23306    757-442-6147       IIHS    TDT    MHSS    1/8/2013
                                                                                                                                                                                    Date

Central      District 19     Hopewell                                          Upside to Youth Development LLC               23860    855-444-9838       IIHS    TDT    MHSS
Virginia
Central      District 19     Richmond        Petersburg, Chester, Colonial     Virginia Home Based Counseling, PC            23806    804-332-4154       IIHS
Virginia                                     Heights
Central      District 19     Richmond        Greater Richmond Area,            Virginia Support Services                     23005    804-332-4154                      MHSS    4/29/2013
Virginia                                     Petersburg, Hopewell, Chester,
                                             Ashland, Colonial Heights,
                                             Chesterfield, Henrico
Central    District 19       Richmond        Cities of Petersburg, Hopewell,   Youth Residential Services of Virginia, Inc   23228    804-310-2448               TDT

Eastern    Eastern Shore     Norfolk         All of Tidewater                  Barry Robinson Center Home Base Services 23502         757-455-6100       IIHS
EASTERN SHORE


Eastern      Eastern Shore   Northampton     Greater Newport News Area     Dominion Day Services                             23607    855-444-9838       IIHS           MHSS    10/28/2013
Eastern      Eastern Shore   Nassawadox      Emxmore, Parksley, Machipongo Eastern Shore Community Services Board            23413    757-442-3636               TDT

Eastern      Eastern Shore   Nassawadox      Oak Hall, Nassawadox              Eastern Shore Community Services Board      23413      757-442-3636       IIHS
Eastern      Eastern Shore   Belle Haven     North Hampton, Accomac            Family Preservation Services- Eastern Shore 23306      757-442-7690       IIHS    TDT    MHSS

Eastern VA   Eastern Shore   Belle Haven     North Hampton, Accomac            Family Preservation Services- Eastern         23306,   757-442-7690/757- IIHS     TDT    MHSS
                                                                               Shore/Hampton/ Norfolk                        23666,   838-8520/ 757-455-
                                                                                                                             23502    8300

Eastern      Colonial        Portsmouth      Accomack, Northampton,            First Home Care                               23704    757-393-9300       IIHS    TDT    MHSS
                                             Southampton
Eastern      Eastern Shore   Hampton         Tidewater Area                    Hampton Mental Health Assoc.,                 23666    757-826-7516, 757- IIHS           MHSS
                                                                               Inc/Tidewater Mental Health In-Home                    896-6303, 757-622-
                                                                               Services                                               7012
Eastern      Eastern Shore   Newport News    Northampton                       Intensive In-Home Counseling & Mentoring      23605    757-706-3381       IIHS    TDT    MHSS
                                                                               Division (IIHMD) of Destiny's House

Eastern      Eastern Shore   Eastern Shore   Accomack County, Northampton National Counseling Group, Inc.                    23350    757-442-6746       IIHS           MHSS
                                             County
Eastern VA   Eastern Shore   Virginia Beach, Accomack, Northampton        National Counseling Group, Inc.                    23462,   757-467-8184/ 757- IIHS    TDT    MHSS
                             Eastern Shore,                                                                                  23350,   442-6746 / 757-
                             Newport News                                                                                    23606    240-5595
Eastern      Eastern Shore   Belle Haven     Accomack County              Therapeutic Interventions, Inc                     23306    757-442-6147       IIHS    TDT    MHSS    1/8/2013
Eastern      Eastern Shore   Belle Haven                                  Therapeutic Interventions, Inc                     23306    757-442-6147       IIHS    TDT    MHSS
Eastern VA   Eastern Shore   Belle Haven     Accomack, Northampton,       Therapeutic Interventions, Inc                     23306    757-442-6147       IIHS    TDT    MHSS    1/8/2013
                                             Southampton
Eastern      Eastern Shore   Newport News Northampton                     Unison Mental Health                               23605    757-706-3382                      MHSS
Eastern      Eastern Shore   Hampton         Exmore, Northampton          Virginia Home Based Counseling PC                  23432    757-846-7222       IIHS
Eastern      Eastern Shore   Hampton         Exmore, Northampton          Virginia Support Services, PC                      23666    757-969-3506                      MHSS    4/29/2013



                                                                                         Page 17 of 104
                                                                                 DMAS PROVIDER LIST for VICAP
                                            The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                           February2013
                                                                                                                                                                                   License
   Region        CSB/BHA         Location             Areas Served/Notes                       Company Name                      Zip         Phone        IIHS    TDT     MHSS    Expiration
                                                                                                                                                                                    Date

Northern      Fairfax         Springfield                                          Adolescent & Family Growth Center, Inc      22151   703-425-9200      IIHS
FAIRFAX

Northern      Fairfax         Annandale                                            Beyond Behaviors, Incorporated              22003   703-658-9300      IIHS
Northern      Fairfax         Goochland         Statewide                          Elk Hill Farm, Inc                          23063   804-457-4866      IIHS                    5/21/2014
Northern      Fairfax         Fairfax           Fairfax. Falls Church, Alexandria, Fairfax- Falls Church Community Services    22035   703-383-8500              TDT
                                                For adults with other co-          Board                                                                         Differen
                                                occurring disorders                                                                                              t
Northern      Fairfax         Fairfax           Fairfax,Falls Church, Arlington,   Family Preservation Services- Fairfax       22030   703-691-7373      IIHS    TDT      MHSS
                                                Manassas, Alexandria, Prince
                                                William
Northern      Fairfax         Falls Church                                         Improving Outcomes, LLC                     22046   703-533-1996      IIHS                    3/17/2013
Northern      Fairfax         Falls Church      Northern Virginia                  Inova Health Care Services                  22042   703-289-2075      IIHS
Northern      Fairfax         Fairfax/ Falls    Northern Virginia                  Inova Kellar Center                         22030   703-218-8515      IIHS
                              Church
Northern      Fairfax         Falls Church                                       Institute for Family Centered Services-    22046      703-237-5713      IIHS            MHSS    11/30/2013
                                                                                 Northern VA
Northern      Fairfax         Springfield                                        Multicultural Clinical Center              22151      703-354-0000      IIHS            MHSS    7/17/2014
Northern      Fairfax         Fairfax           Falls Church, Fairfax City       National Counseling Group, Inc.                       540-825-0705      IIHS    TDT     MHSS
Northern      Fairfax         Newington                                          National Mentor Health Care, Inc dba FASVa 22122      703-339-7299      IIHS    TDT     MHSS    12/12/2013

Northern      Fairfax         Oakton                                             Northern Virginia Family Services             22124   703-385-3267      IIHS                    5/29/2013
Northern      Fairfax         Annandale                                          Phillips Family Partners                      22003   703-658-9054      IIHS
Northern     Fairfax          Manassas, VA      Alexandria City                  Therapeutic Alliance LLC.                     20109   703-492-2686      IIHS            MHSS    6/30/2013
Northern     Fairfax          Fairfax                                            Victoria Transcultural Clinical Center, LLC   22030   703-218-6599      IIHS            MHSS

Northern     Fairfax-Falls    Burke             Fairfax, Falls Church            Autumnleaf Group, Inc                         22015   703-658-7103      IIHS
FAIRFAX- FALLS CHURCH

             Church
Northern     Fairfax-Falls    Washington     Fairfax, Falls Church               Circles of Hope Psychotherapy & Addiction     20009   202-265-2343      IIHS                    9/15/2014
             Church           D.C.                                               Services
Northern     Fairfax-Falls    Alexandria/    Fairfax, Falls Church               Dominion Day Services                         22304   855-444-9838              TDT
             Church           Fredericksburg
                              / Lynchburg
Northern      Fairfax-Falls   Manassas       Fairfax County, Fairfax City,       Family Insight, PC                            20111   571-208-0592      IIHS            MHSS    5/26/2013
              Church                         Herndon
Northern VA   Fairfax-Falls   Culpeper/      Fairfax, Falls Church               Family Preservation Services                  22701/ 540-825-3117/ 703- IIHS    TDT     MHSS
              Church          Fairfax                                                                                          22030 691-7373
Northern      Fairfax-Falls   Fairfax-Falls  Fairfax, Falls Church               Family Priority LLC                           22030 703-537-0700        IIHS
              Church          Church
Northern      Fairfax-Falls   Centreville    Fairfax County, Prince William      Walking with you….. LLC                       20121   703-659-1202      IIHS                    10/12/2013
              Church                         County, Arlington, Faquier,
                                             Loundon



                                                                                            Page 18 of 104
                                                                                  DMAS PROVIDER LIST for VICAP
                                             The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                            February2013
                                                                                                                                                                                        License
   Region        CSB/BHA          Location             Areas Served/Notes                         Company Name                      Zip          Phone         IIHS    TDT    MHSS     Expiration

Northern      Fairfax- Falls   Falls Church      Alexandria, Falls Church, Fairfax, IFCS-Institute for Family Centered Services   22046    703-237-5713       IIHS           MHSS    11/1/2013
                                                                                                                                                                                         Date

              Church                             Arlington, Loudon, Prince
                                                 William
Northern      Fairfax-Falls    Annandale/        Fairfax County and City and Falls National Counseling Group, Inc.                22003/   703-813-5982/ 540- IIHS    TDT    MHSS
              Church           Culpeper/         Church City                                                                      22747/   825-0705/ 703-257-
                               Manassas/                                                                                          20110/   5998
                               Warrenton                                                                                          20187
Northern VA   Fairfax-Falls    Annandale         Fairfax, Fairfax City, Falls Church Phillips Family Partners                     22003    703-941-3471       IIHS
              Church
Northern VA   Loudon County Manassas             Loudon County                      Virginia Support Services                     20109    703-3047020                       MHSS    4/29/2013

Northern   Fairfax-Falls       Manassas          Fairfax County, Fairfax City       Virginia Home Based Counseling, PC            20109    703-330-9933       IIHS           MHSS
           Church
Northern   Fairfax-Falls       Centreville       Alexandria, Arlington, Loudoun, Walking with you….. LLC                          20121    703-659-1292       IIHS                   10/12/2013

Central    Goochland-          Richmond          Goochland, Powhatan                Attachment & Trauma Institute, LLC            23228    804-901-7911       IIHS    TDT    MHSS    3/3/2013
GOOCHLAND-POWHATAN

Virginia   Powhatan
Central    Goochland-          Richmond          Powhatan, Goochland                Center for Child & Family Services, Inc       23229    804-282-0003       IIHS    TDT    MHSS
Virginia   Powhatan
Central    Goochland-          Lynchburg         Powhatan                           Dimension Youth Services                      23005    804-752-7582       IIHS           MHSS
Virginia   Powhatan
Central    Goochland-          Richmond          Greater Richmond Area              Dominion Day Services                         23225    855-444-9838       IIHS           MHSS    10/28/2013
Virginia   Powhatan
Central    Goochland-          Goochland         Statewide                          Elk Hill Farm, Inc                            23063    804-457-4866       IIHS    TDT    MHSS    5/21/2014
Virginia   Powhatan
Central    Goochland-          Henrico           Henrico, Hanover, Chesterfield, EZETT Youth & Family Services                    23075    804-252-9391       IIHS                   4/18/2013
Virginia   Powhatan                              Greater Richmond and Tri-Cities

Central       Goochland-       Petersburg        Goochland, Powhatan                Good Neighbor Counseling, Inc                 23805    804-520-4555       IIHS    TDT    MHSS
Virginia      Powhatan
Central       Goochland-       Richmond          Also serving 23238                 Hallmark Youth Care- Richmond                 23230    804-784-2200       IIHS    TDT
Virginia      Powhatan
Central       Goochland-       Richmond          Richmond, Henrico, Chesterfield, IFCS-Institute for Family Centered Services     23294    804-290-0297       IIHS           MHSS    11/1/2013
Virginia      Powhatan                           Hanover, Petersburg, Colonial
                                                 Heights
Central       Goochland-       Richmond          Richmond, Henrico, Chesterfield, Intercept Youth Services, Inc                            804-612-3330       IIHS    TDT    MHSS
Virginia      Powhatan                           Hanover, Petersburg, Colonial
                                                 Heights

Central       Goochland-       Richmond          Richmond, Henrico, Hanover,        National Counseling Group, Inc.               23230    804-497-4676       IIHS           MHSS    9/25/2015
Virginia      Powhatan                           Goochland, Powhatan, Ling
                                                 William
Central       Goochland-       Lynchburg         Goochland, Powhatan                Presbyterian Homes & Family Services Inc      24503    434-384-3131       IIHS    TDT    MHSS
Virginia      Powhatan                                                                                                                     x3627



                                                                                               Page 19 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                  License
   Region     CSB/BHA         Location            Areas Served/Notes                         Company Name                   Zip          Phone         IIHS    TDT      MHSS     Expiration

Central     Goochland-     Richmond         Chesterfield, Colonial Heights,    Family & Community Support Systems, LLC    23294    804-762-8716       IIHS             MHSS    4/10/2013
                                                                                                                                                                                   Date

Virginia    Powhatan                        Hopewell, Hanover, Henrico,
                                            Powatan, Richmond
Central     Goochland-     Petersburg       Powhatan                           Specialized Youth Services of Virginia     23803    804-733-4728/ 804- IIHS    TDT              10/21/2013
Virginia    Powhatan                                                                                                               895-4355
Central     Goochland-     Danville         Danville, Pittsylvania, Halifax,   Strategic Therapy Associates, Inc          24543    434-237-9450       IIHS    TDT      MHSS    1/1/2016
Virginia    Powhatan                        Lynchburg, Appomattox,                                                                                                             2/1/2014
                                            Amherst, Campbell, Bedford
Central     Goochland-     Richmond         Powhatan, Goochland                 The Center for Counseling and Community   23150    804-357-2446       IIHS             MHSS
Virginia    Powhatan                                                            Affairs
Central     Goochland-     North            Chesterfield, Colonial Heights, Tri Therapeutic Alliance                      23235    804-404-2686       IIHS             MHSS    2/22/13
Virginia    Powhatan       Chesterfield     Cities, Hanover, Henrico,                                                                                                          6/27/2013
                                            Powhatan, Richmond
Central   Goochland-   Richmond             Goochland, Powhatan                 YES Kids Count LLC                        23227    804-264-2964       IIHS

Eastern   Hampton-     Hampton              Newport News, Hampton,             (C.A.T.C.H) Concerned Adults Teaching      23669    757-814-7849       IIHS
HAMPTON-NEWPORT NEWS

          Newport News                      Williamsburg, Norfolk, Suffolk,    Children Hope, LLC
                                            Virginia Beach
Eastern     Hampton-     Hampton                                               Agape Counseling & Therapeutic Svc. Inc    23661    757-871-8734       IIHS    TDT
            Newport News
Eastern     Hampton-     Hampton            Hampton, Newport News,             Alpha Counselors Service                   23666    757-262-2094       IIHS             MHSS
            Newport News                    Norfolk, Chesapeake, Suffolk,
                                            Virginia Beach, Portsmouth,
                                            Williamsburg, York, Isle of
                                            Wright
Eastern     Hampton-     Norfolk            All of Tidewater                   Barry Robinson Center Home Base Services 23502      757-455-6100       IIHS
            Newport News
Eastern     Hampton-     Norfolk             Newport News, Hampton             Compass Youth & Family Services            23513    757-289-5885       IIHS             MHSS
            Newport News
Eastern     Hampton-     Williamsburg       Hampton, Newport News,             Connect Youth and Family Services, LLC     23693    804-937-3688               TDT &            1/7/2013
            Newport News                    Williamsburg, York County,                                                                                        after
                                            James City                                                                                                        school
                                                                                                                                                              TDT
Eastern     Hampton-       Virginia Beach    Hampton, Newport News             Crescent Counseling & Casework Services,   23452    757-431-0105       IIHS
            Newport News                                                       Inc
Eastern     Hampton-       Newport News                                        Divine Behavioral Services, Inc            23602    757-773-2348       IIHS
            Newport News
Eastern     Hampton-       Hampton          Greater Newport News Area          Dominion Day Services                      23607    855-444-9838       IIHS                     10/28/2013
            Newport News
Eastern     Hampton-       Newport News     Greater Newport News Area          Dominion Day Services                      23607    757-244-1180       IIHS                     10/28/2013
            Newport News
Eastern     Hampton-       Hampton                                             Evolve Therapeutic Counseling Services, LLC 23666   757-224-7986       IIHS             MHSS
            Newport News



                                                                                         Page 20 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                               License
   Region     CSB/BHA         Location           Areas Served/Notes                        Company Name                      Zip         Phone         IIHS    TDT    MHSS    Expiration

Eastern     Hampton-       Newport News                                      Family & Youth Foundation Counseling          23605   757-771-0633       IIHS    TDT
                                                                                                                                                                                Date

            Newport News                                                     Services, LLC
Eastern     Hampton-       Virginia Beach   Hampton, Newport News            Family and Youth Foundations                          757-380-0385
            Newport News
Eastern     Hampton-       Hampton                                           Family Impact, Inc.                           23666   757-825-0031       IIHS           MHSS
            Newport News
Eastern     Hampton-       Hampton          Hampton, Newport News, York,     Family Preservation Services- Peninsula       23666   757-838-8520       IIHS    TDT    MHSS
            Newport News                    Poquoson, Williamsburg, James
                                            City
Eastern     Hampton      Williamsburg       Hampton and Newport News         Family Priority LLC                           23185   757-645-3860       IIHS
            Newport News
Eastern     Hampton-     Newport News                                        FamMat(Family Matters) Services, LLC          23606   757-223-9177       IIHS                   9/9/2013
            Newport News
Eastern     Hampton-     Portsmouth         Hampton, Newport News, York, First Home Care                                   23704   757-393-9300       IIHS    TDT    MHSS
            Newport News                    Poquoson, Williamsburg, James
                                            City
Eastern     Hampton-     Newport News       Hampton, Newport News,            Guiding Young Girls                          23603   757-892-0222       IIHS
            Newport News                    Franklin, York, Norfolk, Virginia
                                            Beach Chesapeake, Williamsburg,
                                            Suffolk, Portsmouth, Isle of
                                            Wright, Poquoson

Eastern     Hampton-     Newport News       Hampton, Newport News,            GYG Mental Health Agency                     23605   757-595-8008       IIHS           MHSS    8/27/2013
            Newport News                    Franklin, York, Norfolk, Virginia
                                            Beach Chesapeake, Williamsburg,
                                            Suffolk, Portsmouth, Isle of
                                            Wright, Poquoson

Eastern     Hampton-     Hampton            Tidewater Area                   Hampton Mental Health Assoc.,                 23666   757-826-7516, 757- IIHS           MHSS
            Newport News                                                     Inc/Tidewater Mental Health In-Home                   896-6303, 757-622-
                                                                             Services                                              7012
Eastern     Hampton-     Newport News       Hampton, Newport News,           IFCS-Institute for Family Centered Services   23606   757-597-7024       IIHS           MHSS    11/1/2013
            Newport News                    Williamsburg, York and James
                                            City Counties
Eastern     Hampton-     Hampton                                             Institute for Family Centered Services-       23669   757-722-3466       IIHS           MHSS    11/30/2013
            Newport News                                                     Peninsula
Eastern     Hampton-     Newport News       Newport News, Hampton            Intensive In-Home Counseling & Mentoring      23605   757-706-3381       IIHS    TDT    MHSS
            Newport News                                                     Division (IIHMD) of Destiny's House

Eastern     Hampton-     Portsmouth         Norfolk, Portsmouth, Virginia    James Bentley Treatment Program               23704   757-399-3025       IIHS    TDT    MHSS
            Newport News                    Beach, Suffolk, Newport News,
                                            Chesapeake, Isle of Wight
Eastern     Hampton-     Franklin City      Newport News, Hampton            LEVOC Family Services                         23851   757-737-7895       IIHS           MHSS    2/8/2013
            Newport News



                                                                                       Page 21 of 104
                                                                            DMAS PROVIDER LIST for VICAP
                                       The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                      February2013
                                                                                                                                                                               License
   Region      CSB/BHA         Location           Areas Served/Notes                        Company Name                    Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern VA   Hampton        Richmond         Hampton                          Life Changers MH & Supportive Services of   23224    804-310-2444       IIHS           MHSS
                                                                                                                                                                                Date

             Newport News                                                     VA, Inc
Eastern      Hampton-       Hampton          Hampton, Newport News            Lutheran Family Services of Virginia, Inc   23666    757-722-4707       IIHS
             Newport News
Eastern VA   Hampton      Virginia Beach, Hampton, Newport News             National Counseling Group, Inc.               23462,   757-467-8184/ 757- IIHS    TDT    MHSS
             Newport News Eastern Shore,                                                                                  23350,   442-6746 / 757-
                          Newport News                                                                                    23606    240-5595
Eastern      Hampton-     Newport News Newport News, Hampton, York National Counseling Group, Inc.                        23606    757-240-5595       IIHS    TDT    MHSS
             Newport News                 County, Williamsburg, James City
                                          County, Poquoson
Eastern      Hampton-     Hampton         Tidewater Area                    New Season Clinical Services, LLC             23666    757-675-1805       IIHS           MHSS    1/10/2013
             Newport News
Eastern      Hampton-     Newport News                                      Pathways Developmental Services               23605    757-438-5447       IIHS           MHSS    2/28/2011
             Newport News
Eastern      Hampton-                     Hampton Roads Area, Suffolk,      Pathways to Life, Inc.                        23502    757-395-4122       IIHS           MHSS    11/11/2013
             Newport News                 Franklin, Richmond, Petersburg,
                                          Dinwiddie, Emporia, Chesterfield,
                                          Hopewell

Eastern      Hampton-     Hampton            Chesapeake, Norfolk, Hampton      Second Chance Youth Services, LLC          23666    757-262-2002       IIHS                   8/7/2013
             Newport News                    Roads, Newport News, Suffolk,
                                             Franklin, Wiliamsburg
Eastern      Hampton-     Norfolk            Norfolk, Virginia Beach, Suffolk, TALK Family of VA LLC                      23523    757-248-8255       IIHS
             Newport News                    Franklin, Portsmouth, Hampton,
                                             Chesapeake and Newport News

Eastern      Hampton-       Hampton          Hampton, Newport News            The New Y-CAPP, Inc-DTX                     23666    757-595-3285       IIHS    TDT
             Newport News
Eastern      Hampton-       Hampton                                           The Urban Learning and Leadership Center    23666    757-766-5234       IIHS                   1/31/2014
             Newport News
Eastern VA   Hampton        Belle Haven      Hampton, Newport News            Therapeutic Interventions, Inc              23306    757-422-6147       IIHS    TDT    MHSS    1/8/2013
             Newport News
Eastern      Hampton-       Newport News     Hampton, Newport News            Unison Mental Health                        23605    757-706-3382                      MHSS
             Newport News
Eastern      Hampton-       Hampton          Hampton, Newport News            Virginia Home Based Counseling PC           23432    757-846-7222       IIHS
             Newport News
Eastern      Hampton-       Hampton          Hampton, Newport News            Virginia Support Services, PC               23432    757-846-7222                      MHSS
             Newport News
Eastern      Hampton-       Virginia Beach   Hampton, Newport News            Youth and Family Counseling Services, Inc   23452    757-499-4320       IIHS
             Newport News

Central      Hanover        Richmond         Hanover                          Attachment & Trauma Institute, LLC          23228    804-901-7911       IIHS    TDT    MHSS    3/3/2013
HANOVER

Virginia



                                                                                        Page 22 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                             License
   Region      CSB/BHA      Location            Areas Served/Notes                          Company Name                  Zip          Phone         IIHS    TDT    MHSS    Expiration

Central      Hanover     Richmond         Ashland, Hanover                    Center for Child & Family Services, Inc   23229    804-282-0003       IIHS    TDT    MHSS
                                                                                                                                                                              Date

Virginia
Central      Hanover     Lynchburg        Ashland, Hanover                    Dimension Youth Services                  23005    804-752-7582       IIHS           MHSS
Virginia
Central      Hanover     Richmond         Greater Richmond Area               Dominion Day Services                     23225    1-855-444-9838     IIHS           MHSS    10/28/2013
Virginia
Central      Hanover     Goochland        Statewide                           Elk Hill Farm, Inc                        23063    804-457-4866       IIHS    TDT    MHSS    5/21/2014
Virginia
Central      Hanover     Richmond         Richmond, Chesterfield, Henrico, Empowering Youth for Positive Change         23222    804-908-6088       IIHS
Virginia                                  Hanover, Petersburg, Tri-City
                                          Area
Central      Hanover     Henrico          Henrico,Hanover, Chesterfield,   EZETT Youth & Family Services                23075    804-252-9391       IIHS                   4/18/2013
Virginia                                  Greater Richmond and Tri-Cities

Central      Hanover     Richmond         Chesterfield, Colonial Heights,     Family & Community Support Systems, LLC   23294    804-762-8716       IIHS           MHSS    4/10/2013
Virginia                                  Hopewell, Hanover, Henrico,
                                          Powatan, Richmond
Central      Hanover     Richmond         Hanover                             Family Insight, PC                        23236    804-562-9997       IIHS           MHSS    5/26/2013
Virginia
Central      Hanover     Petersburg       Hanover, Ashland                    Good Neighbor Counseling, Inc             23805    804-520-4555       IIHS    TDT    MHSS
Virginia
Central      Hanover     Ashland          Ashland                             Hanover County Community Services Board 23005      804-635-4222       IIHS
Virginia
Central      Hanover     Richmond         Richmond, Henrico, Chesterfield, Intercept Youth Services, Inc                         804-612-3330       IIHS    TDT    MHSS
Virginia                                  Hanover, Petersburg, Colonial
                                          Heights
Central VA   Hanover     Richmond         Hanover                          Life Changers MH & Supportive Services of 23224       804-310-2444       IIHS           MHSS
                                                                           VA, Inc
Central      Hanover     Richmond         Richmond, Chesterfield, Henrico, LIFE Young Adult Services, LLC              23230     804-562-3241       IIHS           MHSS
Virginia                                  Hanover, Petersburg, Tri-City
                                          Area
Central      Hanover     Mechanicsville                                    More Solutions Youth & Family Services, LLC 23111     804-730-1801       IIHS           MHSS
Virginia
Central      Hanover     Emporia/         Hanover                             NDUTIME Youth and Family Services, Inc    23487,   434-336-1350/ 804- IIHS    TDT    MHSS    11/24/2013
Virginia                 Richmond/                                                                                      23220,   612-4896/ 804-303-
                         Henrico                                                                                        23229    8394
Central      Hanover     Richmond         Hanover                             New Directions Community Outreach         23230    804-943-9921or                    MHSS    2/28/2013
Virginia                                                                      Services                                           804-447-8419
Central      Hanover                      Hampton Roads, Sufflok,             Pathways to Life                          23502    757-395-4122       IIHS           MHSS    11/11/2013
Virginia                                  Franklin, Richmond, petersburg,
                                          Dinwiddie, Emporia, Chesterfield,
                                          Hopewell

Central      Hanover     Mechanicsville                                       OLA Home for Boys                         23116    804-314-3158       IIHS    TDT    MHSS
Virginia


                                                                                        Page 23 of 104
                                                                                DMAS PROVIDER LIST for VICAP
                                           The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                          February2013
                                                                                                                                                                                    License
   Region        CSB/BHA         Location            Areas Served/Notes                        Company Name                      Zip         Phone         IIHS    TDT    MHSS     Expiration

Central      Hanover          Petersburg       Hanover                           Specialized Youth Services of Virginia        23803   804-733-4728/ 804- IIHS    TDT            10/21/2013
                                                                                                                                                                                     Date

Virginia                                                                                                                               895-4355
Central      Hanover          Ashland                                            T.O.D.A.Y.S. Youth Services, Inc              23005   804-355-5170       IIHS    TDT    MHSS
Virginia
Central      Hanover          Richmond         Hanover                           The Center for Counseling and Community       23150   804-357-2446       IIHS           MHSS
Virginia                                                                         Affairs
Central      Hanover          Richmond         Hanover                           The MARCS Agency                              23219   804-644-4444       IIHS                   6/6/2014
Virginia
Central      Hanover          Richmond         Ashland                           Virginia Home Based Counseling, PC            23806   804-332-4154       IIHS
Virginia
Central      Hanover          Richmond         Hanover, Ashland, Henrico         Virginia Support Services, PC                 23226   804-332-4154                      MHSS    4/29/2013
Virginia
Central      Hanover          Richmond         Hanover, Ashland, Mechanicsville YES Kids Count LLC                             23227   804-264-2964       IIHS
Virginia
Central      Hanover          Richmond         Hanover County                    Youth Residential Services of Virginia, Inc   23227   804-310-2447               TDT

Northwestern Harrisonburg     Augusta County Augusta, Rockingham, Albermare American Health & Wellness Institute               24482   540-248-1006                      MHSS
HARRISONBURG


Northwestern Harrisonburg-    Augusta          Harrisonburg, Rockingham          Compass Youth & Family Services               22980/ 540-949-7045/ 434- IIHS            MHSS
             Rockingham       County/          County                                                                          22902/ 987-3469/ 540-437-
                              Charlottesville/                                                                                 22801 1605
                              Harrisonburg
Northwestern Harrisonburg     Harrisonburg     Rockingham County, City of        Crossroads Counseling Centers of Children's   22802   540-801-0885       IIHS    TDT    MHSS
                                               Harrisonburg, Augusta County      Services of Virginia, Inc-
Northwestern   Harrisonburg   Goochland        Statewide                         Elk Hill Farm, Inc                            23063   804-457-4866       IIHS           MHSS    5/21/2014
Northwestern   Harrisonburg   Harrisonburg                                       Family Educational Services, LLC              22801   540-432-8660       IIHS
Northwestern   Harrisonburg   Verona           Rockingham, Harrisonburg          Family Preservation Services- Staunton        24482   540-248-5510       IIHS    TDT    MHSS
Northwestern   Harrisonburg   Harrisonburg     Harrisonburg                      Harrisonburg-Rockingham Community             22802   540-433-3100
                                                                                 Services Board
Northwestern Harrisonburg     Harrisonburg     Harrisonburg, Rockingham          National Counseling Group, Inc.               22801   540-437-0403       IIHS    TDT    MHSS
Northwestern Harrisonburg     Harrisonburg                                       People Places, Inc                            22902   (540) 437-1857     IIHS
Northwestern Harrisonburg     Harrisonburg     Harrisonburg City, Rockingham     Specialized Youth Services of Virginia, Inc   22802   540-433-1376       IIHS    TDT    MHSS    10/21/2013
                                               County

Central        Henrico        Richmond         Henrico, New Kent, Charles City   Attachment & Trauma Institute, LLC            23228   804-901-7911       IIHS    TDT    MHSS
HENRICO

Virginia
Central        Henrico        Richmond         Henrico                           Center for Child & Family Services, Inc       23229   804-282-0003       IIHS    TDT    MHSS
Virginia
Central        Henrico        Richmond         Charles City                      Brother's Keeper, Inc                         23230   804-852-1347       IIHS    TDT
Virginia
Central        Henrico        Richmond         Richmond, Chesterfield County     Counseling Alliance of Virginia               23294   804-346-5165       IIHS
Virginia                                       and Henrico County



                                                                                           Page 24 of 104
                                                                          DMAS PROVIDER LIST for VICAP
                                     The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                    February2013
                                                                                                                                                                         License
   Region     CSB/BHA      Location            Areas Served/Notes                         Company Name                Zip        Phone           IIHS    TDT    MHSS    Expiration

Central     Henrico     Richmond         Henrico                           Creative Youth Concepts Inc              23222   804-525-4101     IIHS       TDT
                                                                                                                                                                          Date

Virginia
Central     Henrico     Lynchburg        Henrico Area, New Kent, Charles Dimension Youth Services                   23005   804-752-7582     IIHS              MHSS
Virginia                                 City
Central     Henrico     Richmond         Greater Richmond Area           Dominion Day Services                      23225   855-444-9838     IIHS       TDT    MHSS    10/28/2013
Virginia
Central     Henrico     Richmond         Richmond, Henrico, Chesterfield Help Your Way                              23230   804-562-6604     IIHS              MHSS    1/31/2013
Virginia
Central     Henrico     Goochland        Statewide                         Elk Hill Farm, Inc                       23063   804-457-4866     IIHS       TDT    MHSS    5/21/2014
Virginia
Central     Henrico     Henrico          Henrico, Hanover, Chesterfield, EZETT Youth & Family Services              23075   804-252-9391     IIHS                      4/18/2013
Virginia                                 Greater Richmond and Tri-Cities

Central     Henrico     Henrico          Amelia County                     Clinical Alternatives, P.C.              23228   804-282-5880     IIHS       TDT    MHSS    12/18/2014
Virginia                                 Caroline County
                                         Chesterfield County
                                         Colonial Heights City
                                         Emporia City
                                         Goochland County
                                         Hanover County
                                         Henrico County
                                         Hopewell City
                                         New Kent County
                                         Petersburg City
                                         Powhatan County
                                         Prince George County
                                         Richmond City
                                         Sussex County

Central     Henrico     Richmond         Richmond, Chesterfield, Henrico, Empowering Youth for Positive Change      23222   804-908-6088     IIHS
Virginia                                 Hanover, Petersburg, Tri-City
                                         Area
Central     Henrico     Richmond         Chesterfield, Colonial Heights,  Family & Community Support Systems, LLC   23294   804-762-8716     IIHS              MHSS    4/10/2013
Virginia                                 Hopewell, Hanover, Henrico,
                                         Powatan, Richmond
Central     Henrico     Richmond         Henrico                          Family Insight, PC                        23236   804-562-9997     IIHS              MHSS    5/26/2013
Virginia
Central     Henrico     Petersburg       Henrico, New Kent                 Good Neighbor Counseling, Inc            23805   804-520-4555     IIHS       TDT    MHSS
Virginia
Central     Henrico     Richmond         Also serving 23238                Hallmark Youth Care- Richmond            23230   804-784-2200     IIHS       TDT
Virginia
Central     Henrico     Richmond         Henrico, Charles City, New Kent   Hargrove Oliver Parker, Inc              23225   804-247-3195     IIHS              MHSS    3/22/2014
Virginia
Central     Henrico     Henrico and      Henrico, New Kent, Charles City   Henrico Area Mental Health &             23060   804-727-8515     IIHS
Virginia                New Kent                                           Developmental Services


                                                                                      Page 25 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                               License
   Region      CSB/BHA      Location            Areas Served/Notes                           Company Name                  Zip          Phone         IIHS    TDT    MHSS     Expiration

Central      Henrico     Richmond         Richmond, Henrico, Chesterfield, IFCS-Institute for Family Centered Services   23294    804-290-0297       IIHS           MHSS    11/1/2013
                                                                                                                                                                                Date

Virginia                                  Hanover, Petersburg, Colonial
                                          Heights
Central      Henrico     Richmond         Richmond, Henrico, Chesterfield, Intercept Youth Services, Inc                          804-612-3330       IIHS    TDT    MHSS
Virginia                                  Hanover, Petersburg, Colonial
                                          Heights
Central VA   Henrico     Richmond         Henrico, Charles City, New Kent Life Changers MH & Supportive Services of      23224    804-310-2444       IIHS           MHSS
                                                                           VA, Inc
Central      Henrico     Richmond         Richmond, Chesterfield, Henrico, LIFE Young Adult Services, LLC                23230    804-562-3241       IIHS           MHSS
Virginia                                  Hanover, Petersburg, Tri-City
                                          Area
Central      Henrico     Emporia/         Henrico                          NDUTIME Youth and Family Services, Inc        23487,   434-336-1350/ 804- IIHS    TDT    MHSS    11/24/2013
Virginia                 Richmond/                                                                                       23220,   612-4896/ 804-303-
                         Henrico                                                                                         23228    8393
Central      Henrico     Henrico                                              NDUTIME Youth and Family Services, Inc-    23228    804-303-8393       IIHS    TDT    MHSS    11/24/2013
Virginia                                                                      Corporate
Central      Henrico     Richmond         Henrico, Charles City, New Kent     New Directions Community Outreach          23230    804-943-9921or                    MHSS    2/28/2013
Virginia                                                                      Services                                            804-447-8419
Central      Henrico                      Hampton Roads Area, Suffolk,        Pathways to Life                           23502    757-395-4122       IIHS           MHSS    11/11/2013
Virginia                                  Franklin, Richmond, Petersburg,
                                          Dinwiddie, Emporia, Chesterfield,
                                          Hopewell

Central      Henrico     Glen Allen                                           S.T.O.N.E.S., LLC                          23059    804-266-7262       IIHS
Virginia
Central      Henrico     Petersburg       Henrico, New Kent, Charles City     Specialized Youth Services of Virginia     23803    804-733-4728/ 804- IIHS    TDT            10/21/2013
Virginia                                                                                                                          895-4355
Central      Henrico     Richmond         Richmond, Henrico, Chesterfield Stepping Stones Toward The Future, LLC         23225    804-320-0264       IIHS           MHSS
Virginia
Central      Henrico     Danville         Danville, Pittsylvania, Halifax,    Strategic Therapy Associates, Inc          24543    434-237-9450       IIHS    TDT    MHSS    1/1/2016
Virginia                                  Lynchburg, Appomattox,                                                                                                            2/1/2014
                                          Amherst, Campbell, Bedford
Central      Henrico     Richmond         Henrico, Charles City, New Kent The Center for Counseling and Community        23150    804-357-2446       IIHS           MHSS
Virginia                                                                  Affairs
Central      Henrico     Richmond         Henrico County and Charles City The MARCS Agency                               23219    804-644-4444       IIHS                   6/6/2014
Virginia                                  County
Central      Henrico     Richmond         Henrico                         The New Y-CAPP, Inc-DTX                        23220    804-225-9144       IIHS    TDT    MHSS
Virginia
Central      Henrico     Richmond         Henrico                             Virginia Home Based Counseling, PC         23806    804-332-4154       IIHS
Virginia
Central      Henrico     Richmond         Henrico                             Virginia Support Services, PC              23806    804-332-4154                      MHSS
Virginia
Central      Henrico     Ashland           Henrico, Ashland, Henrico          Virginia Support Services, PC              23226    804-332-4154                      MHSS    4/29/2013
Virginia



                                                                                         Page 26 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                              License
   Region        CSB/BHA      Location            Areas Served/Notes                          Company Name                      Zip        Phone      IIHS    TDT    MHSS    Expiration

Central        Henrico     Richmond         Henrico, New Kent, Glen Allen       YES Kids Count LLC                            23227   804-264-2964   IIHS
                                                                                                                                                                               Date

Virginia
Central        Henrico     Richmond         Henrico                             Youth Residential Services of Virginia, Inc   23225   804-310-2445           TDT
Virginia

Southwestern   Highlands   Abingdon         Washington County, Bristol          Creative Family Solutions Inc                 24210   276-628-4385                  MHSS    11/9/2013
HIGHLANDS

Southwestern   Highlands   Abingdon         Bristol, Washington, Smyth,         Family Preservation Services- Abingdon        24210   276-623-9245   IIHS    TDT    MHSS
Southwestern   Highlands   Abingdon         Washington County, Bristol          Highlands Community Services                  24210   276-525-1550   IIHS    TDT
Southwestern   Highlands   Bristol                                              Holston Family Services                       24202   276-591-5301   IIHS                   8/18/2013

Northern       Loudoun     Burke            Loudoun                             Autumnleaf Group, Inc                         22015   703-658-7103   IIHS
LOUDOUN

Northern       Loudoun     Goochland        Statewide                           Elk Hill Farm, Inc                            23063   804-457-4866   IIHS                   5/21/2014
Northern       Loudoun     Manassas         Loudoun County                      Family Insight, PC                            20111   571-208-0592   IIHS           MHSS    5/26/2013
Northern       Loudoun     Fairfax          Loudoun County                      Family Priority LLC                           22030   703-537-0700   IIHS
Northern       Loudoun     Chantilly        Northern Virginia                   For Children's Sake of Virginia               20151   703-817-9890   IIHS                   11/16/2013
Northern       Loudoun     Winchester       Leesburg, Winchester, Berryville,   Grafton Inc.                                  22604   703-777-               TDT            1/31/2013
                                            Richmond                                                                                  3485x1335
Northern       Loudoun     Manassas         Prince William, Manassas Park,      National Counseling Group, Inc.               20110   703-257-5997   IIHS           MHSS    9/25/2015
                                            Manassas, Loudoun
Northern VA    Loudoun     Annandale        Loudoun County                      Phillips Family Partners                      22003   703-941-3471   IIHS
Northern       Loudoun     Manassas, VA     Alexandria City                     Therapeutic Alliance LLC.                     20109   703-492-2686   IIHS           MHSS    6/30/2013
               Loudoun                      Fairfax, Prince William,                                                          20121
                                            Arlington, Faquier, Loundon,
Northern                   Centreville      Alexandria                          Walking with you….. LLC                               703-659-1202   IIHS                   10/12/2013
Northern     Loudoun       Manassas         Loudoun County                      Virginia Home Based Counseling, PC            20109   703-330-9933   IIHS           MHSS

Eastern      Middle        Norfolk          All of Tidewater                    Barry Robinson Center Home Base Services 23502        757-455-6100   IIHS
MIDDLE PENINSULA-NORTHERN NECK

             Peninsula-
             Northern Neck
Eastern      Middle        Richmond         King & Queen                        Brother's Keeper, Inc                         23230   804-852-1347   IIHS    TDT
             Peninsula-
             Northern Neck
Eastern      Middle        Lynchburg        Northern Neck Area, King            Dimension Youth Services                      23005   804-752-7582   IIHS           MHSS
             Peninsula-                     William, King and Queen
             Northern Neck
Eastern      Middle        Newport News     Greater Newport News Area           Dominion Day Services                         23225   855-444-9838   IIHS           MHSS    10/28/2013
             Peninsula-
             Northern Neck
Northwestern Middle        Alexandria/      Westmoreland                        Dominion Day Services                         22304   855-444-9838           TDT
             Peninsula-    Fredericksburg
             Northern Neck / Lynchburg



                                                                                          Page 27 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013


                                                                                                                                                                                  License
   Region      CSB/BHA          Location            Areas Served/Notes                         Company Name                   Zip          Phone         IIHS    TDT    MHSS     Expiration

Eastern      Middle          Goochland        Statewide                          Elk Hill Farm, Inc                         23063    804-457-4866       IIHS                   5/21/2014
                                                                                                                                                                                   Date

             Peninsula-
             Northern Neck
Eastern      Middle          Henrico          Henrico, Hanover, Chesterfield, EZETT Youth & Family Services                 23075    804-252-9391       IIHS                   4/18/2013
             Peninsula-                       Greater Richmond and Tri-Cities
             Northern Neck
Eastern      Middle          Williamsburg     Gloucester, West Point             Family Priority LLC                        23185    757-645-3860       IIHS
             Peninsula-
             Northern Neck
Eastern      Middle          Spotsylvania,    Westmoreland                       Family Solutions                           22554    877-582-6363       IIHS    TDT    MHSS
             Peninsula-      Fredricksburg,
             Northern Neck   Stafford,
Eastern      Middle          Portsmouth       Gloucester, Hampton, Isle of       First Home Care                            23704    757-393-9300       IIHS    TDT    MHSS
             Peninsula-                       Wright, James City, Newport
             Northern Neck                    News, Norfolk, Northampton,
                                              Poquoson, Portsmouth,
                                              Smithfield, Suffolk, Virginia
                                              Beach, Williamsburg, York
Eastern      Middle        Newport News       Gloucester, Hampton, Isle of       Intensive In-Home Counseling & Mentoring   23605    (757) 706-3382     IIHS
             Peninsula-                       Wright, James City, Newport        Division (IIHMD)
             Northern Neck                    News, Norfolk, Northampton,
                                              Poquoson, Portsmouth,
                                              Smithfield, Suffolk, Virginia
                                              Beach, Williamsburg, York
Eastern      Middle        New River          Essex                              Intercept Youth Services, Inc                       540-980-0100       IIHS    TDT    MHSS
             Peninsula-    Valley
             Northern Neck
Eastern      Middle        Northern Neck      Gloucester, Matthews, Middlesex,   Middle Peninsula-Northern Neck                      804-693-5068       IIHS
             Peninsula-                       King William, King & Queen,        Community Services Board
             Northern Neck                    Essex, Richmond County,
                                              Westmoreland, Lancaster,
                                              Northumberland
Eastern      Middle        Saluda             Gloucester, Matthews, Middlesex,   Middle Peninsula-Northern Neck             23149    804-693-5068               TDT
             Peninsula-                       King William, Lancaster,           Community Services Board
             Northern Neck                    Westmoreland, Richmond
                                              County, Northumberland

Eastern VA   Middle        Virginia Beach, Gloucester                            National Counseling Group, Inc.            23462,   757-467-8184/ 757- IIHS    TDT    MHSS
             Peninsula-    Eastern Shore,                                                                                   23350,   442-6746 / 757-
             Northern Neck Newport News                                                                                     23606    240-5595




                                                                                           Page 28 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013

                                                                                                                                                                                 License
   Region       CSB/BHA       Location             Areas Served/Notes                        Company Name                     Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern      Middle        King William      Aylett, Essex County,             New Day Counseling Services                  23009    804-769-7971/ 804- IIHS
                                                                                                                                                                                  Date

             Peninsula-    County            Tappahannock, Dutton,                                                                   314-5715
             Northern Neck                   Gloucester, Middlesex,
                                             Heathsville, Northumberland,
                                             Richmond County, Warsaw,
                                             Westmoreland, Lancaster
Eastern      Middle        Newport News      Gloucester                        Unison Mental Health                         23605    757-706-3382                      MHSS

Southwestern Mt. Rogers    Abingdon          Smyth County                      Creative Family Solutions Inc                24210    276-628-4385                      MHSS    11/9/2013
MOUNT ROGERS

Southwestern Mt. Rogers    Galax             Galax, Wytheville, Grayson,       Family Preservation Services- Galax          24381    276-238-8885       IIHS    TDT    MHSS
                                             Carrol, Bland
Southwestern Mt. Rogers    Wytheville,       Wythe, Smyth, Bland, Carroll,     Mount Rogers Community Services Board        24382,   276-223-3291, 276- IIHS    TDT    MHSS

Southwestern New River     Montgomery,       Montgomery,Blacksburg,            A Better Life Counseling Svc. LLC            24018    540-915-9596       IIHS           MHSS
NEW RIVER VALLEY

             Valley        Blacksburg        Christiansburg
Southwestern New River     Radford                                             Braley & Thompson, Inc                       24141    540-731-0360                      MHSS
             Valley
Southwestern New River     Christiansburg                                      Creative Family Solutions                    24073    540-381-3940       IIHS           MHSS    11/30/2013
             Valley
Southwestern New River     Roanoke           Montgomery County, Pulaski        Family Insight, PC                           24018    540-266-7550       IIHS           MHSS    5/26/2013
             Valley                          County,County of Floyd, City of
                                             Radford, Giles County
Southwestern New River     Martinsville      Floyd                             Family Preservation Services- Martinsville   24112    276-632-1113       IIHS    TDT    MHSS
             Valley
Southwestern New River     Christiansburg    Montgomery, Pulaski, Giles,       Family Preservation Services- New River      24073    540-381-7500       IIHS    TDT    MHSS
             Valley                          Radford                           Valley
Southwestern New River     New River         New River Valley, Wythe, Carol    Intercept Youth Services, Inc                         540-980-0100       IIHS    TDT    MHSS
             Valley        Valley
Southwestern New River     Roanoke,          Roanoke, Salem,                   National Counseling Group, Inc.              ###### 540-776-0716,540- IIHS       TDT    MHSS    9/25/2015
             Valley        Christiansburg    Franklin,Botetourt,Bedford,                                                           602-3021
                                             Lynchburg, Craig,
                                             Montogomery,Radford, Floyd,
                                             Giles, Pulaski
Southwestern New River     Blacksburg        Radford, Montgomery County,       New River Valley Community Services Board 24060       540-961-8352       IIHS           MHSS
             Valley                          Floyd County, Pulaski County,
                                             Giles County
Southwestern New River     Blacksburg        Montgomery County                 New River Valley Community Services Board 24060       540-961-8352               TDT
             Valley
Southwestern New River     Floyd                                               Strengthening Our System (SOS), Inc          24091    540-585-4078       IIHS           MHSS    1/9/2014
             Valley
NORFOLK




                                                                                         Page 29 of 104
                                                                         DMAS PROVIDER LIST for VICAP
                                    The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                   February2013
                                                                                                                                                                                License
   Region      CSB/BHA      Location            Areas Served/Notes                         Company Name                      Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern      Norfolk     Hampton          Newport News, Hampton,             (C.A.T.C.H) Concerned Adults Teaching         23669    757-814-7852       IIHS
                                                                                                                                                                                 Date

                                          Williamsburg, Norfolk, Suffolk,    Children Hope, LLC
                                          Virginia Beach
Eastern      Norfolk     Norfolk                                             Alliant Consortium LLC                        23502    757-233-0092       IIHS    TDT    MHSS    12/18/2014
                                          Va Beach, Norfolk, Chesapeake,
                                          Portsmouth, Suffolk, Accomack,
                                          Northhampton, Newport News,
                                          Hampton, York, Williamsburg,
                                          James City, Poquoson, Gloucester
Eastern      Norfolk     Norfolk                                             Alternative Family Treatment Svc. Inc    23505         757-587-5615       IIHS
Eastern      Norfolk     Norfolk          All of Tidewater                   Barry Robinson Center Home Base Services 23502         757-455-6100       IIHS

Eastern      Norfolk     Norfolk                                             Child & Family Services of Eastern Virginia   23517    757-622-7017       IIHS           MHSS

Eastern      Norfolk     Norfolk          Norfolk,                         Compass Youth & Family Services                 23513    757-289-5885       IIHS           MHSS
Eastern      Norfolk     Virginia Beach   Virginia Beach, Norfolk,         Cornerstone Service Intervention Systems,       23455    757-464-2470       IIHS                   11/1/2013
                                          Chesapeake, Portsmouth, Suffolk, LLC
                                          Smithfield
Eastern      Norfolk     Norfolk                                           Covel Family Services                           23518    757-961-7242       IIHS
Eastern      Norfolk     Virginia Beach   Norfolk                          Crescent Counseling & Casework Services,        23452    757-431-0105       IIHS
                                                                           Inc
Eastern      Norfolk     Norfolk                                           Crossroads Family Services II, LLC              23513    757-285-5562       IIHS           MHSS    4/4/2013
Eastern      Norfolk     Newport News     Greater Newport News Area        Dominion Day Services                           23607    855-444-9838       IIHS           MHSS    10/28/2013
Eastern      Norfolk     Virginia Beach   Norfolk                          Family and Youth Foundations                             757-380-0385
Eastern      Norfolk     Norfolk                                           Family Determination                            23513    757-961-1313       IIHS
Eastern      Norfolk     Norfolk                                           Family Impact, Inc.                             23502    757-466-4070       IIHS           MHSS
Eastern VA   Norfolk     Belle Haven      Norfolk                          Family Preservation Services- Eastern           23306,   757-442-7690/757- IIHS     TDT    MHSS
                                                                           Shore/Hampton/ Norfolk                          23666,   838-8520/ 757-455-
                                                                                                                           23502    8300

Eastern      Norfolk     Norfolk          Portsmouth, Virginia Beach,        Family Preservation Services- Norfolk         23502    757-455-8300       IIHS           MHSS
                                          Chesapeake, Suffolk, Franklin
Eastern      Norfolk     Norfolk                                            Family Systems II, Inc                         23504    757-533-9242       IIHS    TDT    MHSS
Eastern      Norfolk     Newport News     Hampton, Newport News,            GYG Mental Health Agency                       23605    757-595-8008       IIHS           MHSS    8/27/2013
                                          Franklin, York, Norfolk, Virginia
                                          Beach Chesapeake, Williamsburg,
                                          Suffolk, Portsmouth, Isle of
                                          Wright, Poquoson

Eastern      Norfolk     Hampton          Tidewater Area                     Hampton Mental Health Assoc.,                 23666    757-826-7516, 757- IIHS           MHSS
                                                                             Inc/Tidewater Mental Health In-Home                    896-6303, 757-622-
                                                                             Services                                               7012



                                                                                       Page 30 of 104
                                                                         DMAS PROVIDER LIST for VICAP
                                    The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                   February2013

                                                                                                                                                                            License
   Region      CSB/BHA      Location            Areas Served/Notes                      Company Name                      Zip        Phone         IIHS    TDT    MHSS     Expiration

Eastern      Norfolk     Chesapeake       Chesapeake, Virginia Beach,     IFCS-Institute for Family Centered Services   23320   757-494-1997      IIHS           MHSS    11/1/2013
                                                                                                                                                                             Date

                                          Norfolk
Eastern      Norfolk     Norfolk                                          In Home Clinical and Casework Services, Inc 23504     757-623-8985      IIHS           MHSS

Eastern      Norfolk     Newport News     Norfolk                         Intensive In-Home Counseling & Mentoring      23605   757-706-3381      IIHS    TDT    MHSS
                                                                          Division (IIHMD) of Destiny's House

Eastern      Norfolk     Portsmouth       Norfolk, Portsmouth, Virginia   James Bentley Treatment Program               23704   757-399-3025      IIHS    TDT    MHSS
                                          Beach, Suffolk, Newport News,
                                          Chesapeake, Isle of Wight
Eastern      Norfolk     Franklin City    Norfolk                         LEVOC Family Services                         23851   757-737-7895      IIHS           MHSS    2/8/2013
Eastern VA   Norfolk                      Norfolk                         Life Changers MH & Supportive Services of     23224   804-310-2444      IIHS           MHSS
                                                                          VA, Inc
Eastern VA   Norfolk     Virginia Beach   Chesapeake, Suffolk, Norfolk,   National Counseling Group, Inc.               23462   757-467-8184      IIHS    TDT    MHSS    9/25/2015
                                          Portsmouth, Virginia Beach
Eastern      Norfolk     Norfolk                                            New Life Programs, Inc                      23504   757-533-9242      IIHS
Eastern      Norfolk     Norfolk          Norfolk                           Norfolk Community Services Board                    757-823-1630      IIHS
Eastern      Norfolk     Norfolk          Hampton Roads Area, Suffolk,      Pathways to Life, Inc.                      23502   757-395-4122      IIHS           MHSS    11/11/2013
                                          Franklin, Richmond, Petersburg,
                                          Dinwiddie, Emporia, Chesterfield,
                                          Hopewell

Eastern      Norfolk     Norfolk          Norfolk, Virginia Beach, Suffolk, TALK Family of VA LLC                       23523   757-248-8255      IIHS
                                          Franklin, Portsmouth, Hampton,
                                          Chesapeake and Newport News

Eastern      Norfolk     Hampton          Norfolk                         The New Y-CAPP, Inc-DTX                       23666   757-595-3285      IIHS    TDT
Eastern      Norfolk     Hampton          Chesapeake, Norfolk, Hampton    Second Chance Youth Services, LLC             23666   757-262-2002      IIHS                   8/7/2013
                                          Roads, Newport News, Suffolk,
                                          Franklin, Wiliamsburg
Eastern      Norfolk     Newport News     Norfolk                         Unison Mental Health                          23605   757-706-3382                     MHSS
Eastern      Norfolk     Hampton          Norfok                          Virginia Home Based Counseling PC             23432   757-846-7222      IIHS
Eastern      Norfolk     Hampton          Norfolk                         Virginia Support Services, PC                 23432   757-846-7222                     MHSS
Eastern      Norfolk     Virginia Beach   Hampton, Newport News           Youth and Family Counseling Services, Inc     23452   757-499-4320      IIHS

Eastern      Norfolk     Norfolk                                          Youth Solution Inc.                           23510 757-544-5020        IIHS
Eastern      Norfolk     Norfolk/        South Hampton Roads              YWCA Counseling Services                      23508/ 757-623-2115 ext                  MHSS
                         Virginia Beach/                                                                                23450 34
                         Suffolk
Eastern   Nortfolk       Hampton         Norfolk                          Lutheran Family Services of Virginia, Inc     23666   757-722-4707      IIHS
NORTHWESTERN




                                                                                    Page 31 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013
                                                                                                                                                                              License
   Region      CSB/BHA         Location            Areas Served/Notes                        Company Name                    Zip         Phone        IIHS    TDT    MHSS    Expiration

Northwestern Northwestern   Augusta          Page County, Shenandoah County Compass Youth & Family Services                22980/ 540-949-7045/ 434- IIHS           MHSS
                                                                                                                                                                               Date

                            County/                                                                                        22902/ 987-3469/ 540-437-
                            Charlottesville/                                                                               22801 1605
                            Harrisonburg
Northwestern Northwestern   Luray                                           Crossroads Counseling Centers of Children's    22835   540-843-2509      IIHS    TDT    MHSS
                                                                            Services of Virginia, Inc-
Northwestern Northwestern   Winchester       Winchester City, Frederick,    Crossroads Counseling Centers of Children's    22602   540-662-7007      IIHS    TDT    MHSS
                                             Clarke, Warren, Shenandoah,    Services of Virginia, Inc-
                                             Page Counties

Northwestern Northwestern   Winchester                                         Crossroads Counseling Centers of Children's 22604   540-667-0116      IIHS    TDT    MHSS
                                                                               Services of Virginia, Inc-
Northwestern Northwestern   Woodstock                                          Crossroads Counseling Centers of Children's 22664   540-459-9003      IIHS    TDT    MHSS
                                                                               Services of Virginia, Inc-
Northwestern Northwestern   Winchester       Winchester, Frederick,            Family Preservation Services- Winchester 22601      540-535-0043      IIHS    TDT    MHSS
                                             Shenandoah, Rappahannock,
                                             Clarke, Page, Warren, Fauquier,
                                             Orange, Madison, Culpeper
Northwestern Northwestern   Fairfax          Warrenton                         Family Priority LLC                         22030   703-537-0700      IIHS
Northwestern Northwestern   Winchester       Leesburg, Winchester, Berryville, Grafton Inc.                                22604   703-777-                  TDT
                                             Richmond                                                                              3485x1335
Northwestern Northwestern   Boyce                                              Intensive Supervision and Counseling        22620   540-837-1645      IIHS    TDT    MHSS
                                                                               Services, LLC
Northwestern Northwestern   Winchester       Winchester City, Frederick,       Lutheran Family Services of Virginia, Inc   22601   540-450-2782      IIHS
                                             Clarke, Warren, Shenandoah,
                                             Page Counties

Northwestern Northwestern   Winchester       Winchester City, Frederick,       Lutheran Family Services of Virginia, Inc   22601   540-450-2782              TDT
                                             Clarke, Warren, Shenandoah,
                                             Page Counties

Northwestern Northwestern   Front Royal      Town of Front Royal, Warren       National Counseling Group, Inc.             22630   540-636-4400      IIHS    TDT    MHSS
Northwestern Northwestern   Winchester       City of Winchester, Clarke,       National Counseling Group, Inc.             22602   540-450-2734      IIHS    TDT    MHSS
                                             Frederick, Shenandoah
Northwestern Northwestern   Front Royal      Shenandoah County Schools         Northwestern Community Services Board       22630   540-459-5180              TDT            2/28/2013


Northwestern Northwestern   Front Royal      Frederick County Middle/High      Northwestern Community Services Board       22630   540-667-8888              TDT            2/28/2013
                                             Schools

Northwestern Northwestern   Front Royal      Winchester City, Frederick,       Northwestern Community Services Board       22630   540-636-2931      IIHS                   2/28/2013
                                             Clarke, Warren, Shenandoah,
                                             Page Counties




                                                                                          Page 32 of 104
                                                                            DMAS PROVIDER LIST for VICAP
                                       The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                      February2013
                                                                                                                                                                            License
   Region        CSB/BHA       Location          Areas Served/Notes                       Company Name                      Zip        Phone       IIHS    TDT    MHSS     Expiration

Northwestern Northwestern   Front Royal    Winchester City, Frederick,      Northwestern Community Services Board         22630   540-667-8888                   MHSS    2/28/2013
                                                                                                                                                                             Date

                                           Clarke, Warren, Shenandoah,
                                           Page Counties

Northwestern Northwestern   Harrisonburg   Shenandoah, Page                 Specialized Youth Services of Virginia, Inc   22802   540-433-1376   IIHS     TDT    MHSS    10/21/2013

Southwestern PD1            Scott                                           Addington Hall                                24244   276-523-8316   IIHS            MHSS
PD1

Southwestern PD1            Abingdon       Wise County, Lee County, Scott   Creative Family Solutions Inc                 24210   276-628-4385                   MHSS    11/9/2013
                                           County
Southwestern PD1            Duffield       Scott & Lee                      Family Preservation Services- Duffield    24244       276-431-7214   IIHS     TDT    MHSS
Southwestern PD1            Norton         Norton, Wise                     Family Preservation Services- Wise County 24273       276-679-1045   IIHS     TDT    MHSS

Southwestern   PD1          Lee                                             Lee County Behavioral Health Services         24263   276-346-3590   IIHS            MHSS
Southwestern   PD1          Scott                                           Scott County Behavioral Health Services       24251   267-225-1190   IIHS            MHSS
Southwestern   PD1          Wise                                            Wise County Behavioral Health Services        24219   276-523-8316   IIHS            MHSS    12/4/2013

Southwestern   Piedmont     Roanoke        Franklin,                        A Better Life Counseling Svc. LLC             24018   540-915-9596   IIHS            MHSS
PIEDMONT

Southwestern   Piedmont     Stuart                                          Blue Ridge Counseling Services                24171   276-694-2727            TDT    MHSS    8/3/2013
Southwestern   Piedmont     Abingdon       Franklin County                  Creative Family Solutions Inc                 24153   540-562-0707                   MHSS    11/9/2013
Southwestern   Piedmont     Roanoke        Franklin County                  Dominion Day Services                         24012   855-444-9838   IIHS            MHSS    10/28/2013
Southwestern   Piedmont     Roanoke        Franklin County                  Family Insight, PC                            24018   540-266-7550   IIHS            MHSS    5/26/2013
Southwestern   Piedmont     Rocky Mount    Franklin                         Family Preservation Services- Franklin        24151   540-483-0312   IIHS     TDT    MHSS
                                                                            County
Southwestern Piedmont       Martinsville   Martinsville,Henry, Patrick      Family Preservation Services- Martinsville    24112   276-632-1113   IIHS     TDT    MHSS

Southwestern Piedmont                                                       Mpowering Kids Mentoring                      24115   276-618-0759   IIHS
Southwestern Piedmont       Roanoke         Roanoke, Salem,                 National Counseling Group, Inc.               24112   540-776-0716   IIHS            MHSS    9/25/2013
                                            Franklin,Botetourt,Bedford,
                                            Lynchburg, Craig, Montogomeey
                                            County
Southwestern   Piedmont     Martinsville    Martinsville, Henry County      Piedmont Community Services                   24112   276-632-7128                   MHSS
Southwestern   Piedmont     Martinsville    Martinsville, Henry County      Piedmont Community Services                   24112   276-632-7128   IIHS
Southwestern   Piedmont     Patrick Springs Patrick County                  Piedmont Community Services                   24171   276-694-4361   IIHS
Southwestern   Piedmont     Patrick Springs Patrick County                  Piedmont Community Services                   24171   276-694-4361                   MHSS
Southwestern   Piedmont     Rocky Mount     Franklin County                 Piedmont Community Services                   24151   540-483-0582            TDT
Southwestern   Piedmont     Rocky Mount     Franklin County                 Piedmont Community Services                   24151   540-483-0582   IIHS
Southwestern   Piedmont     Rocky Mount     Franklin County                 Piedmont Community Services                   24151   540-483-0582                   MHSS
Southwestern   Piedmont     Martinsville                                    Stepping Stones, Inc                          24112   540-638-7676   IIHS                    8/31/2013
Southwestern   Piedmont     Danville        Henry                           Strategic Therapy Associates, Inc             24540   434-793-0567   IIHS     TDT            1/16/2013
Southwestern   Piedmont     Cross Junction                                  Timber Ridge School                           22625   877-877-3010   IIHS



                                                                                      Page 33 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                                License
   Region      CSB/BHA       Location            Areas Served/Notes                       Company Name                       Zip          Phone         IIHS    TDT    MHSS    Expiration

Southwestern Piedmont     Lynchburg        Franklin County                  Living Water Counseling Center, Inc            24502    434-473-7458       IIHS
                                                                                                                                                                                 Date

Southwestern Piedmont                      Franklin, Henry, Patrick,        Presbyterian Homes & Family Services Inc       24503    434-384-3131       IIHS    TDT    MHSS

Eastern      Portsmouth   Portsmouth                                        ABS LINCS VA, Inc.                       23704          757-393-7200       IIHS    TDT
PORTSMOUTH

Eastern      Portsmouth   Norfolk          All of Tidewater                 Barry Robinson Center Home Base Services 23502          757-455-6100       IIHS

Eastern      Portsmouth   Norfolk          Porstmouth                       Compass Youth & Family Services                23513    757-289-5885       IIHS           MHSS
Eastern      Portsmouth   Virginia Beach   Virginia Beach, Norfolk,         Cornerstone Service Intervention Systems,      23455    757-464-2470       IIHS
                                           Chesapeake, Portsmouth, Suffolk, LLC
                                           Smithfield
Eastern      Portsmouth   Portsmouth                                        Crawford First Education                       23704    757-393-7200               TDT
Eastern      Portsmouth   Virginia Beach   Portsmouth                       Crescent Counseling & Casework Services,       23452    757-431-0105       IIHS
                                                                            Inc
Eastern      Portsmouth   Portsmouth       Greater Newport News Area        Dominion Day Services                          23607    855-444-9838       IIHS           MHSS    10/28/2013
Eastern      Portsmouth   Virginia Beach   Portsmouth                       Family and Youth Foundations                            757-380-0385
Eastern VA   Portsmouth   Belle Haven      Portsmouth                       Family Preservation Services- Eastern          23306,   757-442-7690/757- IIHS     TDT    MHSS
                                                                            Shore/Hampton/ Norfolk                         23666,   838-8520/ 757-455-
                                                                                                                           23502    8300

Eastern      Portsmouth   Newport News     Hampton, Newport News,            GYG Mental Health Agency                      23605    757-595-8008       IIHS           MHSS    8/27/2013
                                           Franklin, York, Norfolk, Virginia
                                           Beach Chesapeake, Williamsburg,
                                           Suffolk, Portsmouth, Isle of
                                           Wright, Poquoson

Eastern      Portsmouth   Hampton          Tidewater Area                   Hampton Mental Health Assoc.,                  23666    757-826-7516, 757- IIHS           MHSS
                                                                            Inc/Tidewater Mental Health In-Home                     896-6303, 757-622-
                                                                            Services                                                7012
Eastern      Portsmouth   Chesapeake       Chesapeake, Virginia Beach,      IFCS-Institute for Family Centered Services    23320    757-494-1997       IIHS           MHSS    11/1/2013
                                           Norfolk
Eastern      Portsmouth   Newport News     Portsmouth                       Intensive In-Home Counseling & Mentoring       23605    757-706-3381       IIHS    TDT    MHSS
                                                                            Division (IIHMD) of Destiny's House

Eastern      Portsmouth   Portsmouth       Norfolk, Portsmouth, Virginia    James Bentley Treatment Program                23704    757-399-3025       IIHS    TDT    MHSS
                                           Beach, Suffolk, Newport News,
                                           Chesapeake, Isle of Wight
Eastern      Portsmouth   Franklin City    Porstmouth                       LEVOC Family Services                          23851    757-737-7895       IIHS           MHSS    2/8/2013
Eastern VA   Portsmouth   Richmond         Portsmouth                       Life Changers MH & Supportive Services of      23224    804-310-2444       IIHS           MHSS
                                                                            VA, Inc
Eastern      Portsmouth   Hampton          Portsmouth                       Lutheran Family Services of Virginia, Inc      23666    757-722-4707       IIHS
Eastern      Portsmouth   Portsmouth                                        National Coalition for Youth & Families USA,   23704    757-404-3438       IIHS
                                                                            Inc



                                                                                      Page 34 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                License
   Region      CSB/BHA          Location            Areas Served/Notes                         Company Name                     Zip        Phone       IIHS    TDT    MHSS     Expiration

Eastern VA   Portsmouth      Virginia Beach   Chesapeake, Suffolk, Norfolk,       National Counseling Group, Inc.             23462   757-467-8184    IIHS    TDT    MHSS    9/25/2013
                                                                                                                                                                                 Date

                                              Portsmouth, Virginia Beach
Eastern      Portsmouth      Portsmouth       Chesapeake, Suffolk, Norfolk,       Portsmouth Dept. of Behavioral Healthcare   23704   757-393-8618    IIHS
                                              Portsmouth, Virginia Beach          Services
Eastern      Portsmouth                       Portsmouth, Norfolk, Virginia       Pathways to life                            23502   757-395-4122    IIHS    TDT    MHSS    11/11/2013
                                              Beach, Chesapeake,Newport
                                              News, Hampton, Sufflok,
                                              Franklin, Richmond, Petersburg,
                                              Dinwiddie, Emporia, Chesterfield,
                                              Hopewell


Eastern      Portsmouth      Norfolk          Norfolk, Virginia Beach, Suffolk, TALK Family of VA LLC                         23523   757-248-8255    IIHS
                                              Franklin, Portsmouth, Hampton,
                                              Chesapeake and Newport News

Eastern      Portsmouth      Norfolk          Norfolk, Virginia Beach, Suffolk, TALK Family of VA LLC                         23523   757-248-8255    IIHS
                                              Franklin, Portsmouth, Hampton,
                                              Chesapeake and Newport News

Eastern     Portsmouth       Hampton          Portsmouth                          The New Y-CAPP, Inc-DTX                     23666   757-595-3285    IIHS    TDT
Eastern     Portsmouth       Portsmouth                                           Tidewater Youth Services Commission         23701   757-488-9161    IIHS
Eastern     Portsmouth       Newport News     Portsmouth                          Unison Mental Health                        23605   757-706-3382                   MHSS
Eastern     Portsmouth       Hampton          Portsmouth                          Virginia Home Based Counseling PC           23432   757-846-7222    IIHS
Eastern     Portsmouth       Hampton          Portsmouth                          Virginia Support Services, PC               23432   757-846-7222                   MHSS
Eastern     Portsmouth       Virginia Beach   Portsmouth                          Youth and Family Counseling Services, Inc   23452   757-499-4320    IIHS

Northern    Prince William  Prince William    All of Northern Virginia            Angels of Hope Mental Health Center, LLC    22193   703-680-9527    IIHS
PRINCE WILLIAM

                            County &
                            Fairfax County
Northern     Prince William Burke             Prince William                      Autumnleaf Group, Inc                       22015   703-658-7103    IIHS

Northern     Prince William Washington        Prince William County, Manassas Circles of Hope Psychotherapy & Addiction       20009   202-265-2343    IIHS                   9/15/2014
                            D.C.              Park, Manassas City             Services
Northern     Prince William Lignum            Prince William                  Counseling Interventions                        22726   540-718-0988    IIHS    TDT            1/17/2013

Northern     Prince William Manassas          Manassas City, Manassas Park,       Crossroads Counseling Centers (of           20109   703- 361-1525   IIHS    TDT    MHSS
                                              Alexandria, Prince William          Children's Services of Virginia)
                                              County, Fairfax County, Loudon
                                              County
Northern     Prince William Manassas          Prince William County, Manassas     Crossroads Counseling Centers of Children's 20109   703- 361-1525   IIHS    TDT    MHSS
                                              Park, Manassas City                 Services of Virginia, Inc-



                                                                                            Page 35 of 104
                                                                                DMAS PROVIDER LIST for VICAP
                                           The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                          February2013
                                                                                                                                                                                   License
   Region       CSB/BHA          Location            Areas Served/Notes                       Company Name                     Zip           Phone         IIHS    TDT    MHSS    Expiration

Northern      Prince William Alexandria/    Prince William, Manassas            Dominion Day Services                       22304      855-444-9838               TDT
                                                                                                                                                                                    Date

                             Fredericksburg
                             / Lynchburg
Northern      Prince William Goochland      Statewide                           Elk Hill Farm, Inc                          23063      804-457-4866       IIHS                   5/21/2014

Northern      Prince William Manassas                                           Family Insight, PC                          20112      703-915-2936       IIHS           MHSS    5/26/2013

Northern      Prince William Manassas          City of Alexandria, Arlington    Family Insight, PC                          20111      571-208-0592                      MHSS    5/26/2013
                                               County, Fairfax County, City of
                                               Fairfax, Town of Herndon, Prince
                                               William County, Loudoun County,
                                               Fauquier County, City of
                                               Manassas, Town of Warrenton,
                                               Manassas Park

Northern VA   Prince William Culpeper/          Manassas, Prince William        Family Preservation Services                22701/ 540-825-3117/ 703- IIHS        TDT    MHSS
                             Fairfax                                                                                        22030 691-7373
Northern      Prince William Fairfax           Prince William County            Family Priority LLC                         22030 703-537-0700        IIHS

Northern      Prince William Spotsylvania,     Prince William                   Family Solutions                            22554      877-582-6363       IIHS    TDT    MHSS
                             Fredricksburg,
                             Stafford,
Northern      Prince William Dumfries                                             Heritage Multicultural Programs & Services, 22026    703-898-8760       IIHS    TDT
                                                                                  Inc
Northern      Prince William Falls Church      Alexandria, Falls Church, Fairfax, IFCS-Institute for Family Centered Services 22046    703-237-5713       IIHS           MHSS    11/1/2013
                                               Arlington, Loudon, Prince
                                               William
Northern      Prince William Centreville       Fairfax, Prince William,           Walking with you….. LLC                     20121    703-659-1202       IIH                    10/12/2013
                                               Arlington, Faquier, Loundon,
                                               Alexandria
Northern      Prince William Woodbridge                                           Life Works Outreach Services, Inc dba       22192    703-309-5363       IIHS           MHSS
                                                                                  Family Teamwork
Northern      Alexandria     Alexandria        Prince William County              Lifting As We Climb Community Services,     22192    202-445-0701       IIH            MHSS    12/2/2014
                                                                                  LLC
Northern      Prince William Manassas          Manassas Park, Manassas City,      National Counseling Group, Inc.             20110    703-257-5997       IIHS    TDT    MHSS    9/25/2015
                                               Prince William County, Loudoun
                                               County
Northern      Prince William Annandale/        Prince William County, Manassas National Counseling Group, Inc.                22003/   703-813-5982/ 540- IIHS    TDT    MHSS    9/25/2015
                             Culpeper/         County and city                                                                22747/   825-0705/ 703-257-
                             Manassas/                                                                                        20110/   5999
                             Warrenton                                                                                        20188
Northern VA   Prince William Annandale         Manassas City, Manassas Park,      Phillips Family Partners                    22003    703-941-3471       IIHS
                                               Prince William County
Northern      Prince William Prince William    Manassas, Manassas Park, Prince Prince William County Community Services 22191          703-792-4934       IIHS
                             County            William County                     Board


                                                                                          Page 36 of 104
                                                                                  DMAS PROVIDER LIST for VICAP
                                             The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                            February2013
                                                                                                                                                                                  License
   Region       CSB/BHA           Location             Areas Served/Notes                        Company Name                       Zip        Phone      IIHS    TDT    MHSS    Expiration

              Prince William                                                                                                      20109
                                                                                                                                                                                   Date

Northern                     Manassas, VA        Alexandria City                   Therapeutic Alliance LLC.                              703-492-2686   IIHS           MHSS    6/30/2013
Northern      Prince William Woodbridge                                            Tree of Life Christians Counseling, LLC        22191   703-490-1714   IIHS    TDT

Northern      Alexandria       Centreville       Alexandria, Arlington, Loudoun, Walking with you….. LLC                          20121   703-659-1292   IIHS                   10/12/2013
                                                 Fairfax, Prince William, Fauqier

Northern      Prince William Manassas            Prince William County, Manassas Virginia Home Based Counseling, PC               20109   703-367-7800   IIHS           MHSS
                                                 County

                                                 Park, Manassas City
Northern      Prince William Manassas            Arlington, Alexandria, Fairfax  Virginia Home Based Counseling, PC               20109   703-367-7800   IIHS
                                                 County, City of Fairfax, Prince
                                                 William, Loundon, Fanquier,
                                                 Stafford, Fredericksburg
Northern     Prince William Manassas             Arlington, Alexandria, Fairfax  Virginia Support Services, PC                    20109   703-367-7800                  MHSS

Northwestern RACSB-Fred.    Richmond/      Fredericksburg                          Associated Behavioral Outcomes &               23227   804-918-2273   IIHS    TDT    MHSS
RAPPAHANNOCK AREA

                            Fredricksburg                                          Developmental Experts of VA
Northwestern RACSB-Fred.    Fredericksburg Spotsylvania, Partlow,                  Compass Counseling Services, LLC               22408   540-760-5708   IIHS           MHSS    4/14/2014
                                           Fredericksburg, Stafford, Bowling
                                           Green, Port Royal
Northwestern RACSB-Fred.    Lignum         Prince William, Spotsylvania and        Counseling Interventions                       22726   540-718-0988   IIHS    TDT            1/17/2013
                                           Stafford
Northwestern RACSB-Fred.    Lynchburg      Caroline County                         Dimension Youth Services                       23005   804-752-7582   IIHS           MHSS
Northwestern RACSB-Fred.    Alexandria/    Spotsylvania, City of                   Dominion Day Services                          22304   855-444-9838           TDT
                            Fredericksburg Fredricksburg, Caroline County,
                            / Lynchburg    King George, Stafford
Northwestern RACSB-Fred.    Fredericksburg Greater Fredericksburg Area -           Dominion Day Services                          22401   855-444-9838           TDT
                                           Multiple Schools
Northwestern RACSB-Fred.    Goochland      Statewide                               Elk Hill Farm, Inc                             23063   804-457-4866   IIHS                   5/21/2014
Northwestern RACSB-Fred.    Fredericksburg                                         Family Outreach Community Uniformed            22401   540-207-9174   IIHS           MHSS    5/11/2014
                                                                                   Services
Northwestern RACSB-Fred.       Fredericksburg Stafford, Fredricksburg,             Family Preservation Services-                  22408   540-710-5810   IIHS    TDT    MHSS
                                              Spotsylvania, King George,           Fredericksburg
                                              Westmoreland, Madison,
                                              Rappahannock, Caroline,
                                              Culpeper, Orange, Fauquier
Northwestern RACSB-Fred.       Fredericksburg                                      Family Preservation Services, Inc - VA State   22408   540-381-7500   IIHS    TDT    MHSS

Northern      RACSB-Fred.      Fairfax            Stafford County, Fredericksburg Family Priority LLC                             22030   703-537-0700   IIHS

Northwestern RACSB-Fred.       Spotsylvania,     Spotsylvania, City of             Family Solutions                               22554   877-582-6363   IIHS    TDT    MHSS    2/16/2012
                               Fredricksburg,    Fredricksburg, Caroline County,                                                                                                12/19/2013
                               Stafford,         King George, Stafford                                                                                                          12/19/2013



                                                                                             Page 37 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013
                                                                                                                                                                             License
   Region       CSB/BHA         Location           Areas Served/Notes                       Company Name                    Zip         Phone        IIHS    TDT    MHSS    Expiration

Northwestern RACSB-Fred.     Fredericksburg Fredericksburg, Stafford,         National Counseling Group, Inc.             22408   540-446-0007      IIHS    TDT    MHSS
                                                                                                                                                                              Date

                                            Spotsylvania, King George,
                                            Caroline
Northwestern RACSB-Fred.     Stafford                                         Solution-Focused Family Intervention, Inc   22554   877-582-6363      IIHS           MHSS    12/19/2013

Northwestern RACSB-Fred.     Fredericksburg Spotsylvania, City of             The Wellness Group Youth & Family           23230   804-359-0613      IIHS    TDT    MHSS
                                            Fredricksburg, Caroline County,   Services, Inc
                                            King George, Stafford
Northwestern RACSB-Fred.     Locust Grove   Louisa, Charlottesville, Green,   TIME Family Services, LLC                           434-989-3579      IIHS
                                            Madison, Orange, Culpepper, and
                                            Fauquier Counties
Northwestern RACSB-Fred.     Richmond       Caroline County and surrounding   The MARCS Agency                            23219   804-644-4444      IIHS                   6/6/2014
                                            counties
Northwestern RACSB-Fred.     Manassas       Stafford, Fredericksburg          Virginia Home Based Counseling, PC          22554   703-367-7800      IIHS           MHSS

Northwestern Rappahannock-   Warrenton                                        ACT Family Program                          20186   540-220-2703      IIHS                   4/1/2013
RAPPAHANNOCK RAPIDAN

             Rapidan
Northwestern Rappahannock-   Culpeper                                         Chrysalis Counseling Centers                22701   540-727-0770      IIHS           MHSS    3/9/2014
             Rapidan
Northwestern Rappahannock-   Fredericksburg Locust Grove (Orange County)      Compass Counseling Services, LLC            22408   757-692-0459      IIHS           MHSS    4/14/2014
             Rapidan
Northwestern Rappahannock-   Lignum          Madison, Culpeper, Fauquier,     Counseling Interventions                    22726   540-718-0988      IIHS    TDT            1/17/2013
             Rapidan                         Orange, Rappahannock
Northwestern Rappahannock- Culpeper          Culpeper, Fauquier, Orange,      Counseling Interventions, Inc               22726   540-219-8004      IIHS    TDT    MHSS    1/17/2013
Northwestern Rappahannock- Alexandria/       Fauquier, Orange                 Dominion Day Services                       22304   855-444-9838              TDT
             Rapidan       Fredericksburg
                           / Lynchburg
Northwestern Rappahannock- Goochland      Statewide                           Elk Hill Farm, Inc                          23063   804-457-4866      IIHS    TDT    MHSS    5/21/2014
             Rapidan
Northwestern Rappahannock- Culpeper       Culpeper, Fauquier, Orange,         Empowering Families Program-Daniel L.       22701   540-829-6685/434- IIHS    TDT    MHSS
             Rapidan                      Madison, Rappahannock               Price                                       22903   971-8454

Northwestern Rappahannock-   Manassas        Fauquier, Warrenton              Family Insight, PC                          20111   571-208-0592      IIHS           MHSS    5/26/2013
             Rapidan
Northwestern Rappahannock- Culpeper/         Culpeper, Orange, Madison,       Family Preservation Services                22701/ 540-825-3117/ 703- IIHS    TDT    MHSS
VA           Rapidan       Fairfax           Rappahannock, Fauquier                                                       22030 691-7373
Northwestern Rappahannock- Spotsylvania,     Orange, Fauquier                 Family Solutions                            22554 877-582-6363        IIHS    TDT    MHSS
             Rapidan       Fredricksburg,
                           Stafford,
Northwestern Rappahannock- Culpeper                                           Mountain Laurel Residential Treatment       22701   540-829-1789      IIHS           MHSS    4/22/2014
             Rapidan                                                          Center, LLC
Northwestern Rappahannock- Warrenton         Fauquier                         National Counseling Group, Inc.             20186   540-242-8970      IIHS    TDT    MHSS
             Rapidan



                                                                                        Page 38 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                                License
   Region       CSB/BHA        Location            Areas Served/Notes                        Company Name                    Zip          Phone         IIHS    TDT    MHSS    Expiration

Northwestern Rappahannock- Culpeper          Town of Culpeper, Orange,      National Counseling Group, Inc.                22701    540-825-0705       IIHS    TDT    MHSS
                                                                                                                                                                                 Date

             Rapidan                         Madison, Rappahannock
Northwestern Rappahannock- Orange County,    Orange County, Madison County, Psychology Associates, PC                      22960    540-672-0474 ext 3 IIHS                   4/3/2014
             Rapidan       Madison           Culpeper
                           County,
                           Culpeper
Northwestern Rappahannock- Locust Grove      Louisa, Orange, Albemarle,        TIME Family Services                        22508    804-854-2348       IIHS
             Rapidan                         Madison, Culpeper, Falquier
Northwestern Rappahannock- Manassas          Fauquier, Orange, Madison         Virginia Home Based Counseling, PC          22192    703-367-7800       IIHS           MHSS
             Rapidan
Northwestern Rappahannock- Charlottesville   Madison                           Virginia Support Services, PC               24521    434-238-7308                      MHSS
             Rapidan
RICHMOND
BEHAVIORAL
HEALTH

Central      RBHA          Richmond                                            Abraham Youth and Family Svc. LLC           23226    804-675-9204       IIHS
AUTHORITY

Virginia
Central      RBHA          Richmond                                            Accent Group and Family Svc.                23234    804-780-0072       IIHS
Virginia
Central      RBHA          Richmond                                            All Family Matters Inc                      23221    804-467-2606       IIHS    TDT    MHSS
Virginia
Central      RBHA          Richmond                                            Alliant Consortium LLC                      23222    804-321-9001       IIHS    TDT            12/18/2014
Virginia
Central      RBHA          Richmond                                            Alternative Interventions Family Svc. LLC   23236    804-218-0575       IIHS           MHSS    9/16/2013
Virginia
Central      RBHA          Richmond          Richmond, Henrico, Chesterfield Archstone Counseling & Treatment              23226    804-288-1788       IIHS
Virginia
Central      RBHA          Richmond/         Richmond                          Associated Behavioral Outcomes &             23227   804-918-2273       IIHS    TDT    MHSS
Virginia                   Fredricksburg                                       Developmental Experts of VA
Central      RBHA          Richmond          Richmond/Petersbug                Associated Educational Services of Virginia, 23222   804-321-2777       IIHS    TDT
Virginia                                                                       Inc
Central      RBHA          Richmond                                            ATIBA Youth Intervention Services, LLC       23225   804-833-1880       IIHS
Virginia
Central      RBHA          Richmond          Richmond                          Attachment & Trauma Institute, LLC          23228    804-901-7911       IIHS    TDT    MHSS    3/3/2013
Virginia
Central      RBHA          Richmond                                            Braley & Thompson, Inc                      23228    804-553-9401                      MHSS
Virginia
Central      RBHA          Richmond          Henrico , Charles City, New Kent Center for Child & Family Services, Inc      23229    804-282-0003       IIHS    TDT    MHSS
Virginia
Central      RBHA          Richmond          Richmond                          Changing Faces Youth & Family Services      23230    804-353-2397       IIHS                   12/24/2013
Virginia
Central      RBHA          Richmond          Richmond                          Changing Fazes Youth and Family Services    23223    804-344-3730       IIHS           MHSS    12/24/2013
Virginia



                                                                                         Page 39 of 104
                                                                            DMAS PROVIDER LIST for VICAP
                                       The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                      February2013
                                                                                                                                                                           License
   Region       CSB/BHA      Location            Areas Served/Notes                       Company Name                 Zip        Phone            IIHS    TDT    MHSS    Expiration

Central        RBHA       Richmond                                         City of Richmond Justice Service          23230   804-646-3902      IIHS
                                                                                                                                                                            Date

Virginia
Central        RBHA       Richmond                                         Clear Vision Support Services Inc         23223   804-677-8307      IIHS              MHSS    6/19/2013
Virginia
Central        RBHA       Richmond                                         Clinical Alternatives, P.C.               23228   804-282-5880      IIHS       TDT    MHSS
Virginia
Central        RBHA       Richmond                                         Clinical Services of Virginia, LLC        23235   804-562-3317      IIHS                      9/15/2013
Virginia
Central        RBHA       Richmond                                         Cornerstone Youth Services, Inc           23230   804-525-7306      IIHS              MHSS
Virginia
Central        RBHA       Richmond         Richmond, Chesterfield County   Counseling Alliance of Virginia           23294   804-346-5165      IIHS
Virginia                                   and Henrico County
Central        RBHA       Richmond         Richmond                        Creative Youth Concepts Inc               23222   804-525-4101      IIHS       TDT
Virginia
Central        RBHA       Richmond                                         D.Y.V.I.N.E. Youth Services, LLC          23225   804-658-0336      IIHS
Virginia
Central        RBHA       Richmond                                         Delivering H.O.P..E Human Services, Inc   23224   804-675-0111      IIHS
Virginia
Central        RBHA       Richmond                                         Destiny Services, Inc                     23231   804-919-4014      IIHS
Virginia
Central        RBHA       Richmond                                         Diamonds in the Rough Youth and Family    23230   804-213-0140      IIHS              MHSS    4/14/2013
Virginia                                                                   Services, In
Central        RBHA       Lynchburg        Richmond                        Dimension Youth Services                  23005   804-752-7582      IIHS              MHSS
Virginia
Central        RBHA       Richmond         Greater Richmond Area           Dominion Day Services                     23225   855-444-9838      IIHS       TDT    MHSS    10/28/2013
Virginia
Northwestern   RBHA       Richmond         Greater Fredericksburg Area     Dominion Day Services                     22401   855-444-9838      IIHS              MHSS    10/28/2013
Central        RBHA       Richmond                                         Edgewood Group Family Services            23230   804-648-0671      IIHS       TDT
Virginia
Central        RBHA       Goochland        Statewide                       Elk Hill Farm, Inc                        23063   804-457-4866      IIHS       TDT    MHSS    5/21/2014
Virginia
Central        RBHA       Richmond         Richmond, Chesterfield, Henrico, Empowering Youth for Positive Change     23222   804-908-6088      IIHS
Virginia                                   Hanover, Petersburg, Tri-City
                                           Area
Central        RBHA       Richmond                                          Empowerment Clinical and Consulting      23236   804-378-7718      IIHS              MHSS
Virginia                                                                    Services, LLC
Central        RBHA       Richmond                                          EMS VA, LLC-EMS Intensive IN-Home Svc    23235   804-464-2405      IIHS
Virginia
Central        RBHA       Henrico          Henrico, Hanover, Chesterfield, EZETT Youth & Family Services             23075   804-252-9391      IIHS                      4/18/2013
Virginia                                   Greater Richmond and Tri-Cities

Central        RBHA       Petersburg       Richmond                        Envision One, LLC                         23805   804-862-8300      IIHS
Virginia



                                                                                      Page 40 of 104
                                                                         DMAS PROVIDER LIST for VICAP
                                    The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                   February2013
                                                                                                                                                                        License
   Region    CSB/BHA      Location            Areas Served/Notes                        Company Name                   Zip        Phone         IIHS    TDT    MHSS    Expiration

Central     RBHA       Richmond                                           Envision Solutions, LLC                    23294   804-728-2034   IIHS
                                                                                                                                                                         Date

Virginia
Central     RBHA       Richmond                                           Faith & Family Advocate, LLC               23230   804-402-1611   IIHS
Virginia
Central     RBHA       Richmond         Chesterfield, Colonial Heights,   Family & Community Support Systems, LLC    23294   804-762-8716   IIHS              MHSS    4/10/2013
Virginia                                Hopewell, Hanover, Henrico,
                                        Powatan, Richmond
Central     RBHA       Richmond                                           Family and Adolescent Services, LLC        23227   804-521-4450   IIHS       TDT            12/6/2013
Virginia
Central     RBHA       Richmond                                           Family and Children Treatment Services,    23235   804-261-2225   IIHS
Virginia                                                                  LLC
Central     RBHA       Richmond                                           Family Face 2 Face Services                23230   804-303-4587   IIHS                      4/18/2013
Virginia
Central     RBHA       Richmond                                           Family Focus, Inc                          23228   804-261-2090   IIHS              MHSS
Virginia
Central     RBHA       Richmond                                           Family Impact, Inc                         23225   804-276-1777   IIHS
Virginia
Central     RBHA       Richmond         City of Richmond                  Family Insight, PC                         23236   804-562-9997   IIHS              MHSS    5/26/2013
Virginia
Central     RBHA       Richmond                                           Family Maintenance Counseling Group, Inc   23223   804-837-1589   IIHS              MHSS
Virginia
Central     RBHA       Richmond         City of Richmond                  Family Preservation Services- Richmond     23234   804-231-1350   IIHS       TDT    MHSS
Virginia
Central     RBHA       Richmond                                           Family Restoration Services, LLC           23229   804-909-1697   IIHS              MHSS    3/6/2014
Virginia
Central     RBHA       Richmond                                           Family Transitions, Inc                    23235   804-745-5101   IIHS       TDT            3/4/2013
Virginia
Central     RBHA       Richmond                                           From the Ground Up Youth Services, LLC     23226   804-261-6013   IIHS
Virginia
Central     RBHA       Richmond                                           From Within Youth and Family Services      23223   804-502-3314   IIHS
Virginia
Central     RBHA       Richmond                                           Future Generation Youth Services, LLC      23294   804-503-8201   IIHS
Virginia
Central     RBHA       Richmond                                           Generation X-cel Youth & Family Services   23234   804-279-8995              TDT
Virginia
Central     RBHA       Petersburg       Greater Richmond                  Good Neighbor Counseling, Inc              23805   804-520-4555   IIHS       TDT    MHSS
Virginia
Central     RBHA       Richmond         Leesburg, Winchester, Berryville, Grafton Inc.                               22604   703-777-                  TDT
Virginia                                Richmond                                                                             3485x1335
Central     RBHA       Richmond                                           Greatness In You, LLC                      23231   804-247-4982   IIHS
Virginia
Central     RBHA       Richmond         Also serving 23238                Hallmark Youth Care- Richmond              23230   804-784-2200   IIHS       TDT
Virginia
Central     RBHA       Richmond         Richmond                          Hargrove Oliver Parker, Inc                23225   804-247-3195   IIHS              MHSS    3/22/2014
Virginia


                                                                                    Page 41 of 104
                                                                       DMAS PROVIDER LIST for VICAP
                                  The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                 February2013
                                                                                                                                                                        License
   Region    CSB/BHA      Location          Areas Served/Notes                          Company Name                   Zip        Phone         IIHS    TDT    MHSS    Expiration

Central     RBHA       Richmond                                         Harry CO, LLC                                23227   804-264-2963      IIHS           MHSS
                                                                                                                                                                         Date

Virginia
Central     RBHA       Richmond                                         Harry CO, LLC                                23227   804-515-0088      IIHS           MHSS
Virginia
Central     RBHA       Richmond                                         Healthy Minds                                23230   804-236-0250      IIHS                   8/18/2013
Virginia
Central     RBHA       Richmond       Richmond, Henrico, Chesterfield Help Your Way                                  23230   804-562-6604      IIHS           MHSS    1/31/2013
Virginia
Central     RBHA       Richmond                                         HYPE Youth Services, LLC                     23227   804-213-0259      IIHS
Virginia
Central     RBHA       Richmond       Richmond, Henrico, Chesterfield, IFCS-Institute for Family Centered Services   23294   804-290-0297      IIHS           MHSS    11/1/2013
Virginia                              Hanover, Petersburg, Colonial
                                      Heights
Central     RBHA       Richmond                                        Influential Family Services, Inc              23230   804-355-1853
Virginia
Central     RBHA       Richmond                                         Institute for Family Centered Services       23294   804-290-0297      IIHS           MHSS    11/30/2013
Virginia
Central     RBHA       Richmond                                         Intensive Community Outreach Services, Inc 23219     804-647-2051      IIHS                   3/10/2013
Virginia
Central     RBHA       Richmond                                         Intercept Youth Services, Inc                23228   804-264-4066      IIHS    TDT    MHSS    10/15/2013
Virginia
Central     RBHA       Richmond       Richmond, Henrico, Chesterfield, Intercept Youth Services, Inc                         804-612-3330      IIHS    TDT    MHSS
Virginia                              Hanover, Petersburg, Colonial
                                      Heights
Central     RBHA       Richmond                                        Johnny's Heros Youth & Family Services, Inc 23220     804-782-2255      IIHS    TDT
Virginia
Central     RBHA       Franklin       Richmond                          LEVOC Family Services                        23851   757-737-7895      IIHS           MHSS    2/8/2013
Virginia
Central     RBHA       Richmond                                         Life Changers MH & Supportive Services of    23224   804-310-2444      IIHS           MHSS    1/31/2014
Virginia                                                                VA, Inc
Central     RBHA       Richmond                                         Life Coach Community Services of Virginia,   23224   804-230-4761      IIHS           MHSS    1/31/2014
Virginia                                                                Inc
Central     RBHA       Richmond                                         Life Lessons Family Services, LLC            23235   804-909-1804      IIHS
Virginia
Central     RBHA       Richmond       Richmond, Chesterfield, Henrico, LIFE Young Adult Services, LLC                23230   804-562-3241      IIHS           MHSS    8/18/2013
Virginia                              Hanover, Petersburg, Tri-City                                                                                                   4/22/2012
                                      Area
Central     RBHA       Richmond       Richmond City, Petersburg,       Lutheran Family Services of Virginia, Inc     23226   804-288-0122 x228 IIHS
Virginia                              Chesterfield, Chester, Hopewell,
                                      New Kent, Hanover, Henrico,
                                      Goochland, Powhatan
Central     RBHA       Richmond                                        Lyle Professional Consulting                  23236   804-745-2660      IIHS
Virginia
Central     RBHA       Richmond                                         M.I.N.K.S. Youth & Family Services           23227   804-261-7888      IIHS           MHSS
Virginia


                                                                                  Page 42 of 104
                                                                         DMAS PROVIDER LIST for VICAP
                                    The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                   February2013
                                                                                                                                                                         License
   Region    CSB/BHA      Location            Areas Served/Notes                       Company Name                Zip          Phone           IIHS    TDT    MHSS     Expiration

Central     RBHA       Richmond                                         Miracles Behavioral Health Center        23236    804-400-6479       IIHS      TDT    MHSS    12/4/2013
                                                                                                                                                                          Date

Virginia
Central     RBHA       Richmond                                         National Counseling Group, Inc           23230    703-813-5982       IIHS      TDT    MHSS
Virginia
Central     RBHA       Richmond         Richmond, Henrico, Hanover,     National Counseling Group, Inc.          23230    804-497-4676       IIHS             MHSS
Virginia                                Goochland, Powhatan, Louisa
Central     RBHA       Emporia/         Richmond                        NDUTIME Youth and Family Services, Inc   23487,   434-336-1350/ 804- IIHS      TDT    MHSS    11/24/2013
Virginia               Richmond/                                                                                 23220,   612-4896/ 804-303-
                       Henrico                                                                                   23232    8397
Central     RBHA       Richmond                                         NDUTIME Youth and Family Services, Inc   23220    804-612-4896       IIHS      TDT    MHSS    11/24/2013
Virginia
Central     RBHA       Richmond         City of Richmond                New Directions Community Outreach        23230    804-943-9921or     IIHS                     2/28/2013
Virginia                                                                Services                                          804-447-8419
Central     RBHA       Colonial Heights Colonial Heights, Petersburg,   Omega II Therapeutic After School Day    23834    804-526-5896                 TDT
Virginia                                                                Treatment Services
                                        Chester, Chesterfield
                                        Greater Richmond Area,

Central     RBHA       Richmond                                         Open Arms Family Support Services, LLC   23220    804-928-5597       IIHS      TDT    MHSS    4/4/2013
Virginia
Central     RBHA       Richmond                                         Overcomers Day Services, LLC             23236    804-502-0288                 TDT
Virginia
Central     RBHA                        Hampton, Portsmouth, Norfolk, Pathways to Life, inc                      23502    757-395-4122       IIHS             MHSS    11/11/2013
Virginia                                Virginia Beach, Chesapeake,
                                        Newport News, Hampton,
                                        Suffolk, Franklin, Richmond,
                                        petersburg, Dinwiddie, Emporia,
                                        Chesterfield, Hopewell

Central     RBHA       Richmond                                         Phase One                                23224    804-482-1372                 TDT    MHSS
Virginia
Central     RBHA       Richmond                                         Put Family First, LLC                    23230    804-658-4626       IIHS             MHSS    3/7/2013
Virginia
Central     RBHA       Richmond                                         Restoring Youth Alternative              23231    804-437-3312       IIHS
Virginia
Central     RBHA       Richmond         Richmond                        Richmond Behavioral Health Authority     23219    804-819-4065                 TDT
Virginia
Central     RBHA       Richmond         Richmond                        Richmond Behavioral Health Authority     23219    804-819-4100       IIHS
Virginia
Central     RBHA       Richmond                                         River City Comprehensive Counseling      23224    804-683-6590       IIHS             MHSS    9/28/2013
Virginia                                                                Services, LLC
Central     RBHA       Richmond                                         Safe Haven, Inc                          23225    804-745-9800       IIHS                     8/7/2013
Virginia
Central     RBHA       Richmond                                         Slabaugh and Associates, LLC             23225    804-2390-3350      IIHS                     7/2/2013
Virginia
Central     RBHA       Petersburg       Richmond                        Specialized Youth Services of Virginia   23803    804-733-4728/ 804- IIHS      TDT            10/21/2013
Virginia                                                                                                                  895-4355


                                                                                    Page 43 of 104
                                                                       DMAS PROVIDER LIST for VICAP
                                  The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                 February2013
                                                                                                                                                                      License
   Region    CSB/BHA      Location          Areas Served/Notes                          Company Name                 Zip        Phone         IIHS    TDT    MHSS    Expiration

Central     RBHA       Richmond       Richmond Tri-Cities including      Spectrum Transformation Group             23235   804-317-4307   IIHS
                                                                                                                                                                       Date

Virginia                              Petersburg, Cumberland,
                                      Goochland
Central     RBHA       Richmond                                          St. Joseph's Villa                        23227   804-553-3284   IIHS       TDT    MHSS
Virginia
Central     RBHA       Richmond       Richmond, Henrico, Chesterfield Stepping Stones Toward The Future, LLC       23225   804-320-0264   IIHS              MHSS
Virginia
Central     RBHA       Danville       Danville, Pittsylvania, Halifax,   Strategic Therapy Associates, Inc         24543   434-237-9450   IIH        TDT    MHSS    1/1/2016
Virginia                              Lynchburg, Appomattox,                                                                                                        2/1/2014
                                      Amherst, Campbell, Bedford
Central     RBHA       Richmond                                          Strata GEM Connection, LLC                23219   804-307-2979   IIHS
Virginia
Central     RBHA       Richmond                                          Teen Option, Inc                          23223   804-745-9800   IIHS
Virginia
Central     RBHA       Richmond                                          The Bair Foundation of Virginia           23229   804-288-8210   IIHS
Virginia
Central     RBHA       Richmond       Richmond                           The Center for Counseling and Community   23150   804-357-2446   IIHS              MHSS
Virginia                                                                 Affairs
Central     RBHA       Richmond       Richmond City                      The MARCS Agency                          23219   804-644-4444   IIHS                      6/6/2014
Virginia
Central     RBHA       Richmond       Richmond                           The New Y-CAPP, Inc-DTX                   23220   804-225-9144   IIHS       TDT    MHSS
Virginia
Central     RBHA       Richmond       Hanover, Henrico, Petersburg,      The Wellness Group Youth & Family         23230   804-359-0613   IIHS       TDT    MHSS
Virginia                              Chesterfield                       Services, Inc
Central     RBHA       Richmond                                          Therapeutic Services Unlimited, LLC       23235   804-248-0898   IIHS
Virginia
Central     RBHA       Richmond       Richmond                           United Methodist Family Services          23230   804-239-1219   IIHS       TDT
Virginia
Central     RBHA       Richmond                                          Vigilant Mindz, Inc                       23219   804-918-0949   IIHS       TDT    MHSS    3/6/2013
Virginia
Central     RBHA       Richmond                                          Virginia Counseling and Community Dev     23223   804-358-2585   IIHS       TDT    MHSS
Virginia
Central     RBHA       Richmond       Greater Richmond Area              Virginia Home Based Counseling, PC        23806   804-332-4154   IIHS
Virginia
Central     RBHA       Richmond       Richmond                           Virginia Home for Boys                    23294   804-270-6566   IIHS
Virginia
Central     RBHA       Richmond       Greater Richmond Area              Virginia Support Services, PC             23806   804-332-4154                     MHSS    4/29/2013
Virginia
Central     RBHA       Ashland        Greater Richmond Area              Virginia Support Services, PC             23005   804-332-4154                     MHSS
Virginia
Central     RBHA       Richmond                                          Wilkerson's Consultants                   23234   804-279-9401   IIHS       TDT
Virginia
Central     RBHA       Richmond                                          Wise Enterprises, Inc                     23230   804-355-1068   IIHS       TDT
Virginia



                                                                                    Page 44 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                     License
   Region        CSB/BHA       Location              Areas Served/Notes                         Company Name                      Zip          Phone         IIHS    TDT    MHSS    Expiration

Central        RBHA         Richmond                                              Youth & Family Dynamics In-Home Servs,        23220    804-501-9440       IIHS    TDT
                                                                                                                                                                                      Date

Virginia                                                                          LLC
Central        RBHA         Richmond                                              Youth and Family Counseling Services, Inc     23230    804-266-9474       IIHS
Virginia
Central        RBHA         Richmond                                              Youth Counseling Services of Virginia         23221    804-405-8888       IIHS
Virginia
Central        RBHA         Richmond                                              Youth Development Counseling Agency, LLC 23222         804-350-7070       IIHS
Virginia
Central        RBHA         Richmond                                              Youth Excel and Advancement, LLC              23234    804-888-7856       IIHS    TDT
Virginia
Central        RBHA         Richmond           Richmond                           Youth Residential Services of Virginia, Inc   23224    804-310-2444               TDT
Virginia
Central        RBHA         Richmond                                              Youthbuilders, LLC                            23234    804-467-8510       IIHS
Virginia

Northwestern   Region Ten   Augusta County Augusta, Rockingham, Albermare American Health & Wellness Institute                  24482    540-248-1006                      MHSS
REGION TEN


Northwestern Region Ten     Richmond           Albemarle,Fluvanna,Louisa          Center for Child & Family Services, Inc       23229    804-282-0003       IIHS    TDT    MHSS
Northwestern Region Ten     Augusta            Charlottesville, Fluvanna, Greene, Compass Youth & Family Services               22980/   540-949-7045/ 434- IIHS           MHSS
                            County/            Louisa, Nelson                                                                   22902/   987-3469/ 540-437-
                            Charlottesville/                                                                                    22801    1605
                            Harrisonburg
Northwestern Region Ten     Augusta            Augusta County, Charlottesville, Compass Youth & Family Services                 22980/ 540-949-7045/ 434- IIHS             MHSS
                            County/            Fluvanna, Greene, Harrisonburg,                                                  22902/ 987-3469/ 540-437-
                            Charlottesville/   Louisa, Nelson, Page County,                                                     22801 1605
                            Harrisonburg       Rockingham County,
                                               Shenandoah, Staunton County,
                                               Waynesboro

Northwestern Region Ten     Culpeper           Greene                             Counseling Interventions, Inc                 22726    540-219-8004       IIHS    TDT    MHSS    1/17/2013
Northwestern Region Ten     Charlottesville    Albermarle, Greene, Nelson,        Dominion Day Services                                  855-444-9838                      MHSS
                                               Fluvanna, Louisa
Northwestern Region Ten     Alexandria/        Louisa                             Dominion Day Services                         22304    855-444-9838               TDT
                            Fredericksburg
                            / Lynchburg
Northwestern Region Ten     Goochland       Statewide                             Elk Hill Farm, Inc                            23063    804-457-4866       IIHS    TDT    MHSS    5/21/2014
Northwestern Region Ten     Charlottesville Albemarle, Fluvanna, Nelson,          Empowering Families Program-Daniel L.         22701    434-971-8454       IIHS    TDT    MHSS
                                            Greene, Louisa, Buckingham            Price                                         22903
Northwestern Region Ten     Charlottesville Albermarle, Greene, Nelson,           Family Preservation Services-                 22902    434-293-4262       IIHS           MHSS
                                            Fluvanna, Louisa                      Charlottesville
Northwestern Region Ten     Spotsylvania,   Louisa                                Family Solutions                              22554    877-582-6363       IIHS    TDT    MHSS
                            Fredricksburg,
                            Stafford,



                                                                                            Page 45 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013

                                                                                                                                                                              License
   Region        CSB/BHA       Location             Areas Served/Notes                           Company Name              Zip         Phone         IIHS    TDT    MHSS     Expiration

Northwestern Region Ten     Charlottesville   Charlottesville, Albemarle,     New Beginnings Family Counseling Services, 22902   434-984-0023       IIHS                   4/16/2013
                                                                                                                                                                               Date

                                              Greene,Louisa, Nelson, Fluvanna Inc.

Northwestern   Region Ten   Charlottesville                                        People Places, Inc                    22876   434-979-0336       IIHS    TDT    MHSS
Northwestern   Region Ten   Charlottesville                                        People Places, Inc                    22902   434-979-0335       IIHS
Northwestern   Region Ten   Culpeper          Louisa County, Greene County         Psychology Associates, PC             22960   540-672-0474       IIHS                   4/3/2014
Northwestern   Region Ten   Charlottesville   Charlottesville                      Region Ten Community Services Board   22903   434-972-1800               TDT    MHSS
Northwestern   Region Ten   Fluvanna          Fluvanna                             Region Ten Community Services Board   22963   434-589-8276               TDT    MHSS
Northwestern   Region Ten   Greene            Greene                               Region Ten Community Services Board   22973   434-985-5220               TDT    MHSS
Northwestern   Region Ten   Louisa            Louisa                               Region Ten Community Services Board   23093   540-967-2880               TDT    MHSS
Northwestern   Region Ten   Nelson            Nelson                               Region Ten Community Services Board   22949   434-263-4889       IIHS    TDT    MHSS
Northwestern   Region Ten   Locust Grove      Louisa, Charlottesville, Green,      TIME Family Services, LLC                     434-989-3579       IIHS
                                              Madison, Orange, Culpepper, and
                                              Fauquier Counties
Northwestern Region Ten     Richmond          Fluvanna                        The Center for Counseling and Community    23150   804-357-2446       IIHS           MHSS
                                                                              Affairs
Northwestern Region Ten     Charlottesville   Charlottesville                 The New Y-CAPP, Inc-DTX                    22903   434-973-0176               TDT
Northwestern Region Ten     Charlottesville   Charlottesville                 The New Y-CAPP, Inc-DTX                    22903   434-973-0176       IIHS
Northwestern Region Ten     Charlottesville   Charlottesville, Albemarle,     Virginia Home Based Counseling, PC         22902   540-270-0610       IIHS           MHSS
                                              Greene,Louisa, Nelson, Fluvanna

Northwestern Region Ten     Charlottesville/ City of Charlottesville, County of Virginia Home Based Counseling, PC       22902   540-270-0610/ 540- IIHS    TDT    MHSS
                            Rockbridge       Albemarle, Orange, Green,                                                           292-2565
                                             Augusta, Rockbridge, Nelson,
                                             Fluvanna, Louisa, Madison
Northwestern Region Ten     Charlottesville/ City of Charlottesville, County of Virginia Home Based Counseling, PC       22902   540-270-0610/ 540- IIHS    TDT    MHSS
                            Rockbridge       Albemarle, Orange, Green,                                                           292-2565
                                             Augusta, Rockbridge, Nelson,
                                             Fluvanna, Louisa, Madison
Northwestern Region Ten     Charlottesville Charlottesville, Albemarle,         Virginia Support Services, PC            24521   434-238-7308                      MHSS
                                             Greene,Louisa, Nelson, Fluvanna

Northwestern Region Ten     Charlottesville   City of Charlottesville, County of   Virginia Support Services, PC         22902   540-270-0610                      MHSS
                                              Albemarle, Orange, Green,
                                              Augusta, Rockbridge, Nelson,
                                              Fluvanna, Louisa, Madison
Northwestern Region Ten     Lynchburg         City of Charlottesville, County of   Virginia Support Services, PC         24501   434-238-7308                      MHSS

Northwestern Rockbridge     Lexington         Lexington, Rockbridge County,        Centra Health, Inc                    24450   540-525-8447       IIHS
ROCKBRIDGE

                                              Buena Vista,




                                                                                             Page 46 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013
                                                                                                                                                                               License
   Region        CSB/BHA       Location             Areas Served/Notes                        Company Name                  Zip          Phone         IIHS    TDT    MHSS    Expiration

Northwestern Rockbridge     Harrisonburg/     Augusta County, City of Staunton, Crossroads Counseling Centers (of         22802/   540-801-0885/ 540- IIHS    TDT    MHSS
                                                                                                                                                                                Date

                            Luray/            City of Waynesboro, Rockingham Children's Services of Virginia)             22835/   843-2509/ 540-662-
                            Winchester/       County, City of Harrisonburg,                                               22602/   7007/ 540-459-
                            Woodstock         Luray, Stanley, Page County,                                                22664    9003
                                              Warren County, Winchester City,
                                              Frederick County, Clarke County
                                              and Shenandoah County

Northwestern Rockbridge     Verona            Buena Vista, Lexington,           Family Preservation Services- Staunton    24482    540-248-5510       IIHS    TDT    MHSS
                                              Rockbridge, Bath
Northwestern Rockbride      Lexington         Rockbridge, Buena Vista,          Intercept Youth Services, Inc             24450    540-319-4215       IIHS    TDT    MHSS    10/15/2013
                                              Lexington, Staunton,
                                              Waynesboro, Augusta
Northwestern Rockbridge     Lexington         Lexington, Rockbridge, Bath,      Rockbridge Area Community Services Board 24450     540-463-3141               TDT            5/1/2013
                                              Buena Vista
Northwestern Rockbridge     Lexington         Lexington, Rockbridge, Bath,      Rockbridge Area Community Services Board 24450     540-463-3141       IIHS                   5/1/2013
                                              Buena Vista
Northwestern   Rockbridge   Charlottesville   Rockbridge                        Virginia Home Based Counseling, PC                 540-292-2565       IIHS    TDT    MHSS
Northwestern   Rockbridge   Lynchburg         Rockbridge                        Virginia Support Services, PC             24521    434-238-7308                      MHSS

Central        Southside    Richmond          Mecklenburg                       Brother's Keeper, Inc                     23230    804-852-1347       IIHS    TDT
SOUTHSIDE

Virginia
Central        Southside    Richmond          Brunswick, Mecklenburg, Halifax, Center for Child & Family Services, Inc    23229    804-282-0003       IIHS    TDT    MHSS
Virginia
Central        Southside    Lynchburg         Brunswick                         Dimension Youth Services                  23005    804-752-7582       IIHS           MHSS
Virginia
Central        Southside    South Hill        South Hill, Brunswick, Halifax,   Dominion Day Services                     23970    1-855-444-9838     IIHS           MHSS    10/28/2013
Virginia                                      Mecklenburg
Central        Southside    Goochland         Statewide                         Elk Hill Farm, Inc                        23063    804-457-4866       IIHS           MHSS    5/21/2014
Virginia
Central        Southside    South Hill        South Hill                        Family First, LLC                         23970    434-447-2595       IIHS
Virginia
Central        Southside    South Hill                                          Family First, LLC                         23970    434-447-2595       IIHS
Virginia
Central        Southside    South Boston      Danville, Halifax, Pittsylvania   Family Preservation Services- South Boston 24592   434-572-8598       IIHS    TDT    MHSS
Virginia
Central        Southside    Newport News      Hampton, Newport News,            GYG Mental Health Agency                  23605    757-595-8008       IIHS           MHSS    8/27/2013
Virginia                                      Franklin, York, Norfolk, Virginia
                                              Beach Chesapeake, Williamsburg,
                                              Suffolk, Portsmouth, Isle of
                                              Wright, Poquoson

Central        Southside    Richmond          Brunswick, Mecklenburg, Halifax, New Directions Community Outreach          23230    434-372-3002 or    IIHS                   2/28/2013
Virginia                                      South Boston                     Services                                            804-943-9921



                                                                                          Page 47 of 104
                                                                             DMAS PROVIDER LIST for VICAP
                                        The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                       February2013
                                                                                                                                                                                  License
   Region        CSB/BHA        Location            Areas Served/Notes                         Company Name                      Zip         Phone        IIHS    TDT    MHSS    Expiration

Central       Southside                       Halifax, Brunswick                 Presbyterian Homes & Family Services Inc      24503   434-384-3131      IIHS    TDT    MHSS
                                                                                                                                                                                   Date

Virginia                                                                                                                               x3627
Central       Southside      South Boston     Boydon, Lawrenceville, South       Southside Community Services Board            24592   855-875-9584      IIHS
Virginia                                      Boston
Central       Southside      Danville         Danville, Pittsylvania, Halifax,   Strategic Therapy Associates, Inc             24540   434-793-0567      IIHS    TDT            1/16/2013
Virginia                                      Lynchburg, Appomattox,
                                              Amherst, Campbell, Bedford
Central      Southside       Richmond         Brunswick                          The Center for Counseling and Community       23150   804-357-2446      IIHS           MHSS
Virginia                                                                         Affairs
Central      Southside       Danville         Halifax                            The Madeline Centre, Inc.                     24541   434-239-0003      IIHS    TDT            6/18/2014
Virginia

Northwestern Valley          Augusta County                                      American Health & Wellness Institute          24482   540-248-1006                     MHSS
VALLEY


Northwestern Valley          Augusta County Augusta, Rockingham, Albermare American Health & Wellness Institute                24482   540-248-1006                     MHSS

Northwestern Valley                           Augusta, Staunton, Waynesboro      Centra Health, Inc                            24015   540-525-8447      IIHS

Northwestern Valley          Augusta          Augusta, Staunton, Waynesboro      Compass Youth & Family Services               22980/ 540-949-7045/ 434- IIHS           MHSS
                             County/                                                                                           22902/ 987-3469/ 540-437-
                             Charlottesville/                                                                                  22801 1605
                             Harrisonburg
Northwestern Valley          Verona           Staunton, Rockingham, Augusta,     Family Preservation Services- Staunton        24482   540-248-5510      IIHS    TDT    MHSS
                                              Buena Vista, Covington,
                                              Highland, Harrisonburg,
                                              Waynesboro, Lexington,
                                              Rockbridge, Bath
Northwestern Valley          Lexington        Richmond, Henrico, Chesterfield,   Intercept Youth Services, Inc                 24450   540-319-4215      IIHS    TDT    MHSS    10/15/2013
                                              Hanover, Petersburg, Colonial
                                              Heights,
                                              Staunton,Wayneboro,Augusta,
                                              Rockbridge, Buena Vista,
                                              Lexington
Northwestern Valley          Staunton         Staunton, Augusta, Waynesboro      National Counseling Group, Inc.               24401   540-213-8470      IIHS           MHSS

Northwestern Valley          Staunton                                            People Places, Inc                            22902   540-885-8841      IIHS
Northwestern Valley          Harrisonburg     Augusta, Staunton, Waynesboro      Specialized Youth Services of Virginia, Inc   22802   540-433-1376      IIHS    TDT    MHSS    10/21/2013

Northwestern Valley         Staunton          Staunton                           Valley Community Services Board               24401   540-887-0866              TDT    MHSS
Northwestern Valley         Charlottesville   Augusta                            Virginia Home Based Counseling, PC            22902   540-292-2565      IIHS    TDT    MHSS

Eastern      Virginia Beach Hampton           Newport News, Hampton,             (C.A.T.C.H) Concerned Adults Teaching         23669   757-814-7853      IIHS
VIRGINIA BEACH

                                              Williamsburg, Norfolk, Suffolk,    Children Hope, LLC
                                              Virginia Beach


                                                                                           Page 48 of 104
                                                                            DMAS PROVIDER LIST for VICAP
                                       The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                      February2013
                                                                                                                                                                                   License
   Region      CSB/BHA          Location            Areas Served/Notes                        Company Name                      Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern      Virginia Beach Virginia Beach                                      Another Level Youth & Family Services, LLC 23464       757-556-0235       IIHS
                                                                                                                                                                                    Date


Eastern      Virginia Beach Virginia Beach    Norfolk, Virginia Beach, Suffolk, Brighter Futures, Inc                         23464    757-216-8350       IIHS
                                              Franklin, Portsmouth, Hampton,
                                              Chesapeake and Newport News

Eastern      Virginia Beach Virginia Beach                                    Community Services of Virginia                  23455    757-497-1115       IIHS
Eastern      Virginia Beach Virginia Beach    Virginia Beach                  Compasio'n LLC                                  23455    757-581-2795               TDT            6/4/2014
Eastern      Virginia Beach Virginia Beach                                    Community Solutions, Inc                        23462    757-461-5098       IIHS    TDT    MHSS    12/15/2013
Eastern      Virginia Beach Norfolk           Virginia Beach                  Compass Youth & Family Services                 23513    757-289-5885       IIHS           MHSS
Eastern      Virginia Beach Virginia Beach,   Virginia Beach, Norfolk,        Cornerstone Service Intervention Systems,       23455    757-464-2470       IIHS
                            Norfolk,          Chesapeake, Portsmouth, Suffolk LLC
                            Chesapeake,
                            Portsmouth,
                            Suffolk
Eastern      Virginia Beach Virginia Beach    Virginia Beach                    Crescent Counseling & Casework Services,      23452    757-431-0105       IIHS
                                                                                Inc
Eastern      Virginia Beach Newport News      Greater Newport News Area         Dominion Day Services                         23607    1-855-444-9838     IIHS           MHSS    10/28/2013
Eastern      Virginia Beach Virginia Beach    Virginia Beach                    Family and Youth Foundations                           757-380-0385
Eastern VA   Virginia Beach Belle Haven       Virginia Beach                    Family Preservation Services- Eastern         23306,   757-442-7690/757- IIHS     TDT    MHSS
                                                                                Shore/Hampton/ Norfolk                        23666,   838-8520/ 757-455-
                                                                                                                              23502    8300

Eastern      Virginia Beach Newport News      Hampton, Newport News,            GYG Mental Health Agency                      23605    757-595-8008       IIHS           MHSS    8/27/2013
                                              Franklin, York, Norfolk, Virginia
                                              Beach Chesapeake, Williamsburg,
                                              Suffolk, Portsmouth, Isle of
                                              Wright, Poquoson

Eastern      Virginia Beach Hampton           Tidewater Area                    Hampton Mental Health Assoc.,                 23666    757-826-7516, 757- IIHS           MHSS
                                                                                Inc/Tidewater Mental Health In-Home                    896-6303, 757-622-
                                                                                Services                                               7012
Eastern      Virginia Beach Chesapeake        Chesapeake, Virginia Beach,       IFCS-Institute for Family Centered Services   23320    757-494-1997       IIHS           MHSS    11/1/2013
                                              Norfolk
Eastern      Virginia Beach Newport News      Virginia Beach                    Intensive In-Home Counseling & Mentoring      23605    757-706-3381       IIHS    TDT    MHSS
                                                                                Division (IIHMD) of Destiny's House

Eastern      Virginia Beach Portsmouth        Norfolk, Portsmouth, Virginia     James Bentley Treatment Program               23704    757-399-3025       IIHS    TDT    MHSS
                                              Beach, Suffolk, Newport News,
                                              Chesapeake, Isle of Wight
Eastern      Virginia Beach Virginia Beach    Tidewater Area                    Just By 5, Inc                                23452    757-306-4219                      MHSS
Eastern      Virginia Beach Franklin City     Virginia Beach                    LEVOC Family Services                         23851    757-737-7895       IIHS           MHSS    2/8/2013
Eastern      Virginia Beach Virginia Beach                                      Liberty Family Services, LLC                  23462    757-201-6164       IIHS



                                                                                          Page 49 of 104
                                                                              DMAS PROVIDER LIST for VICAP
                                         The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                        February2013
                                                                                                                                                                                      License
   Region      CSB/BHA           Location             Areas Served/Notes                          Company Name                     Zip          Phone         IIHS    TDT    MHSS    Expiration

Eastern VA   Virginia Beach Richmond            Virginia Beach                       Life Changers MH & Supportive Services of   23224    804-310-2444       IIHS           MHSS
                                                                                                                                                                                       Date

                                                                                     VA, Inc
Eastern      Virginia Beach Hampton             Virginia Beach                       Lutheran Family Services of Virginia, Inc   23666    757-722-4707       IIHS
Eastern      Virginia Beach Virginia Beach      VA Beach, Norfolk, Chesapeake,       National Counseling Group, Inc.             23462    757-467-8184       IIHS           MHSS
                                                Portsmouth, Suffolk

Eastern VA   Virginia Beach Virginia Beach, Virginia Beach                    National Counseling Group, Inc.                    23462,   757-467-8184/ 757- IIHS    TDT    MHSS
                            Eastern Shore,                                                                                       23350,   442-6746 / 757-
                            Newport News                                                                                         23606    240-5595
Eastern      Virginia Beach Virginia Beach                                    Oasis Counseling Center                            23452    757-301-7129       IIHS
Eastern      Virginia Beach                 Hampton Roads, Suffolk, franklin, Pathways to Life, inc                              23502    757-395-4122       IIH            MHSS    11/11/2013
                                            Richmond, Petersburg,
                                            Dinwiddie, Emporia, Chesterfield,
                                            Hopewell

Eastern      Virginia Beach Virginia Beach                                        Strong Foundation Youth Initiative             23456    757-306-1390       IIHS
Eastern      Virginia Beach Norfolk             Norfolk, Virginia Beach, Suffolk, TALK Family of VA LLC                          23523    757-248-8255       IIHS
                                                Franklin, Portsmouth, Hampton,
                                                Chesapeake and Newport News

Eastern      Virginia Beach Newport News        Virginia Beach                       Unison Mental Health                        23605    757-706-3382                      MHSS
Eastern      Virginia Beach Virginia Beach                                           United Methodist Family Services-           23462    757-490-9791       IIHS    TDT            6/9/2013
                                                                                     Tidewater
Eastern      Virginia Beach   Virginia Beach    Virginia Beach                       Virginia Beach Dept. of Human Services      23462    757-385-0840       IIHS                   4/17/2014
Eastern      Virginia Beach   Hampton           Virginia Beach                       Virginia Home Based Counseling PC           23432    757-846-7222       IIHS
Eastern      Virginia Beach   Hampton           Virginia Beach                       Virginia Support Services, PC               23432    757-846-7222                      MHSS
Eastern      Virginia Beach   Virginia Beach    Virginia Beach                       Youth and Family Counseling Services, Inc   23452    757-499-4320       IIHS
Eastern      Virginia Beach   Norfolk/          South Hampton Roads                  YWCA Counseling Services                    23508/   757-623-2115 ext                  MHSS
                              Virginia Beach/                                                                                    23450    34
                              Suffolk

Eastern    Western            Hampton           Newport News, Hampton,               (C.A.T.C.H) Concerned Adults Teaching       23669    757-814-7851       IIHS
WESTERN TIDEWATER

           Tidewater                            Williamsburg, Norfolk, Suffolk,      Children Hope, LLC
                                                Virginia Beach
Eastern      Western          Norfolk           All of Tidewater                     Barry Robinson Center Home Base Services 23502       757-455-6100       IIHS
             Tidewater
Eastern      Western          Norfolk           Isle of Wright, Suffolk, Franklin,   Compass Youth & Family Services             23513    757-289-5885       IIHS           MHSS
             Tidewater                          Southampton County
Eastern      Western          Virginia Beach    Virginia Beach, Norfolk,             Cornerstone Service Intervention Systems,   23455    757-464-2470       IIHS
             Tidewater                          Chesapeake, Portsmouth, Suffolk,     LLC
                                                Smithfield
Eastern      Western          Virginia Beach    Suffolk,                             Crescent Counseling & Casework Services,    23452    757-431-0105       IIHS
             Tidewater                                                               Inc



                                                                                               Page 50 of 104
                                                                           DMAS PROVIDER LIST for VICAP
                                      The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                     February2013
                                                                                                                                                                                  License
   Region      CSB/BHA      Location            Areas Served/Notes                          Company Name                      Zip          Phone         IIHS    TDT    MHSS     Expiration

Eastern      Western     Newport News     Greater Newport News Area           Dominion Day Services                         23607    855-444-9838       IIHS           MHSS    10/28/2013
                                                                                                                                                                                   Date

             Tidewater
Eastern      Western     Virginia Beach   Suffolk                             Family and Youth Foundations                           757-380-0385
             Tidewater
Eastern VA   Western     Belle Haven      Suffolk, Franklin                   Family Preservation Services- Eastern         23306,   757-442-7690/757- IIHS     TDT    MHSS
             Tidewater                                                        Shore/Hampton/ Norfolk                        23666,   838-8520/ 757-455-
                                                                                                                            23502    8300

Eastern      Western     Norfolk          Norfolk, Virginia Beach, Suffolk, Family Systems II                               23504    757-533-9242       IIHS    TDT            4/15/2015
             Tidewater                    Isle of Wight, Portsmouth,
                                          Hampton Roads, Chesapeake and
                                          Newport News
Eastern      Western     Newport News     Hampton, Newport News,            GYG Mental Health Agency                        23605    757595-8008        IIHS           MHSS    8/27/2013
             Tidewater                    Franklin, York, Norfolk, Virginia
                                          Beach Chesapeake, Williamsburg,
                                          Suffolk, Portsmouth, Isle of
                                          Wright, Poquoson

Eastern      Western     Hampton          Tidewater Area                      Hampton Mental Health Assoc.,                 23666    757-826-7516, 757- IIHS           MHSS
             Tidewater                                                        Inc/Tidewater Mental Health In-Home                    896-6303, 757-622-
                                                                              Services                                               7012
Eastern      Western     Suffolk          Suffolk, Franklin, Isle of Wight,   IFCS-Institute for Family Centered Services   23435    757-484-4179       IIHS           MHSS    11/1/2013
             Tidewater                    Smithfield, Portsmouth
Eastern      Western     Newport News     Suffolk, Franklin, Southhampton Intensive In-Home Counseling & Mentoring          23605    757-706-3381       IIHS    TDT    MHSS
             Tidewater                    County, Smithfield                Division (IIHMD) of Destiny's House

Eastern      Western     Portsmouth       Norfolk, Portsmouth, Virginia       James Bentley Treatment Program               23704    757-399-3025       IIHS    TDT    MHSS
             Tidewater                    Beach, Suffolk, Newport News,
                                          Chesapeake, Isle of Wight
Eastern      Western     Franklin City    Isle of Wright, Suffolk, Franklin   LEVOC Family Services                         23851    757-737-7895       IIHS           MHSS    2/8/2013
             Tidewater
Eastern VA   Western     Richmond         Suffolk                           Life Changers MH & Supportive Services of       23224    804-310-2444       IIHS           MHSS
             Tidewater                                                      VA, Inc
Eastern      Western     Hampton          Smithfield, Suffolk, Williamsburg Lutheran Family Services of Virginia, Inc       23666    757-722-4707       IIHS
             Tidewater
Eastern VA   Western     Virginia Beach   Chesapeake, Virginia Beach,         National Counseling Group, Inc.               23462,   757-467-8184/ 757- IIHS    TDT    MHSS    9/25/2013
             Tidewater                    Norfolk Suffolk, Portsmouth                                                       23350,   442-6746 / 757-
                                                                                                                            23606    240-5595
Eastern      Western     Emporia/          Southampton                        NDUTIME Youth and Family Services, Inc        23487,   434-336-1350/ 804- IIHS    TDT    MHSS    11/24/2013
             Tidewater   Richmond/                                                                                          23220,   612-4896/ 804-303-
                         Henrico                                                                                            23233    8398
Eastern      Western     Franklin                                             New Hope Family & Youth Relations, Inc        23851    254-218-8536       IIHS                   10/7/2013
             Tidewater
Eastern      Western     Petersburg       Franklin City, Isle of Wright, and Specialized Youth Services of Virginia         23803    804-733-4728/ 804- IIHS    TDT            10/21/2013
             Tidewater                    Southampton                                                                                895-4355


                                                                                        Page 51 of 104
                                                                          DMAS PROVIDER LIST for VICAP
                                     The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                                                                    February2013



                                                                                                                                                                              License
   Region      CSB/BHA      Location            Areas Served/Notes                           Company Name                    Zip        Phone         IIHS    TDT    MHSS    Expiration

Eastern      Western     Norfolk          Norfolk, Virginia Beach, Suffolk, TALK Family of VA LLC                          23523   757-248-8255      IIHS
                                                                                                                                                                               Date

             Tidewater                    Franklin, Portsmouth, Hampton,
                                          Chesapeake and Newport News

Eastern      Western     Hampton          Suffolk                              The New Y-CAPP, Inc-DTX                     23666   757-595-3285      IIHS    TDT
             Tidewater
Eastern VA   Western     Belle Haven      Suffolk, Franklin                    Therapeutic Interventions, Inc              23306   757-422-6148      IIHS    TDT    MHSS    1/8/2013
             Tidewater
Eastern      Western     Newport News     Isle of Wight, Smithfield, Suffolk   Unison Mental Health                        23605   757-706-3382                     MHSS
             Tidewater
Eastern      Western     Hampton          Suffolk                              Virginia Home Based Counseling PC           23432   757-846-7222      IIHS
             Tidewater
Eastern      Western     Hampton          Suffolk                              Virginia Support Services, PC               23432   757-846-7222                     MHSS
             Tidewater
Eastern      Western     Franklin City    Franklin City                        Western Tidewater Community Services        23851   757-942-1963                     MHSS
             Tidewater                                                         Board
Eastern      Western     Franklin City    Franklin City                        Western Tidewater Community Services        23851   757-942-1951              TDT
             Tidewater                                                         Board
Eastern      Western     Isle of Wight    Isle of Wright                       Western Tidewater Community Services        23434   757-942-1963                     MHSS
             Tidewater                                                         Board
Eastern      Western     Isle of         Isle of Wight/Smithfield              Western Tidewater Community Services        23430   757-942-1951              TDT
             Tidewater   Wight/Smithfiel                                       Board
                         d
Eastern      Western     Smithfield      Smithfield                            Western Tidewater Community Services        23430   757-942-1963                     MHSS
             Tidewater                                                         Board
Eastern      Western     Southhampton     Southhampton County                  Western Tidewater Community Services        23434   757-942-1963                     MHSS
             Tidewater   County                                                Board
Eastern      Western     Suffolk          Suffolk, Franklin City, Isle of      Western Tidewater Community Services        23434   757-942-1963      IIHS
             Tidewater                    Wight, Southampton                   Board
Eastern      Western     Suffolk          Suffolk                              Western Tidewater Community Services        23434   757-942-1963                     MHSS
             Tidewater                                                         Board
Eastern      Western     Suffolk          Suffolk                              Western Tidewater Community Services        23434   757-942-1951              TDT            6/1/2013
             Tidewater                                                         Board
Eastern      Western     Virginia Beach   Suffolk                              Youth and Family Counseling Services, Inc   23452   757-499-4320      IIHS
             Tidewater
Eastern      Western     Norfolk/        South Hampton Roads                   YWCA Counseling Services                    23508/ 757-623-2115 ext                  MHSS
             Tidewater   Virginia Beach/                                                                                   23450 34
                         Suffolk




                                                                                         Page 52 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 53 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 54 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 55 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 56 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 57 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 58 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 59 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 60 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 61 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 62 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 63 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 64 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 65 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 66 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 67 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 68 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 69 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 70 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 71 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 72 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 73 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 74 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 75 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 76 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 77 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 78 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 79 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 80 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 81 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 82 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 83 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 84 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 85 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 86 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 87 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 88 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 89 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 90 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 91 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 92 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 93 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 94 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 95 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 96 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 97 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 98 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                             Page 99 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                            Page 100 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                            Page 101 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                            Page 102 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                            Page 103 of 104
                                     DMAS PROVIDER LIST for VICAP
The provider list will be updated monthly. Please submit changes or additions to cmhrs@dmas.virginia.gov.
                                               February2013




                                            Page 104 of 104

								
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