MEDICARE: SAVOY WELLNESS CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1275140626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVOY WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	3126 W CARY ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-3504
Country	:	US
Telephone Number	:	301-655-2291
Fax Number	:

Provider Business Practice Location Address
First Line	:	1209 N 32ND ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-6711
Country	:	US
Telephone Number	:	301-655-2291
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	INDRIA VIOLENE SAVOY
Credential	:	LCSW, LMHP
Telephone Number	:	301-655-2291

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	09/29/2020

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