Also OP - you might find some good suggestions on the Special Needs Forum.
My DH sees Dr. Book in NW DC for meds, and a coach through Chesapeake ADHD Center
http://chesapeakeadd.com/. I know you are in VA, but they may be able to refer you somewhere. Also check out CHADD if you haven't already. My two ADHD kids see different docs for meds and therapy. And yes, I have to organize it ALL, but the therapy and meds have made a world of difference. We were also in counseling and on the verge of divorce, but things are so much better. We have one NT child, and it's hard not to rely on her too much because her exec functioning is so much higher than her sibs. We also limit screen time (esp at night), make sure everyone gets enough sleep. I'm very careful with our diets, and supplement with fish oil, vit D, and multis. It's a lot, but managing ADHD requires a great deal of effort on all fronts.
Good luck, and you are not alone!