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NPI Code Detail

MEDICARE: LATRICIA KNIGHT

MEDICARE:   LATRICIA  KNIGHT
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)88-2017627VA
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6764-07-006VA
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1649978941
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRICIA KNIGHT
Provider Business Mailing Address
First Line : 501 TWINRIDGE LN
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-5266
Country : US
Telephone Number : 804-243-2846
Fax Number :
Provider Business Practice Location Address
First Line : 501 TWINRIDGE LN
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-5266
Country : US
Telephone Number : 804-243-2846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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Directions to “ LATRICIA KNIGHT ” Practice Location

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