MEDICARE: THE CONFESS PROJECT OF THE SOUTHEAST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency
3	251V00000X	Voluntary or Charitable Agency
4	252Y00000X	Early Intervention Provider Agency
5	261Q00000X	Clinic/Center
6	261QC1500X	Community Health Clinic/Center
7	261QH0100X	Health Service Clinic/Center
8	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
9	261QM0855X	Adolescent and Children Mental Health Clinic/Center
10	261QP0904X	Federal Public Health Clinic/Center
11	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)
12	261QR1300X	Rural Health Clinic/Center
13	320800000X	Mental Illness Community Based Residential Treatment Facility
14	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1033804596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CONFESS PROJECT OF THE SOUTHEAST

Provider Business Mailing Address
First Line	:	405 E LABURNUM AVE STE 3
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2120
Country	:	US
Telephone Number	:	501-413-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E LABURNUM AVE STE 3
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2120
Country	:	US
Telephone Number	:	501-413-8899
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KAROLYN TAYLOR
Credential	:
Telephone Number	:	501-413-8899

Provider Enumeration Date	:	04/10/2023
Last Update Date	:	04/10/2023

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Directions to “THE CONFESS PROJECT OF THE SOUTHEAST ” Practice Location

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