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NPI Code Detail

MEDICARE: HENRICO AREA MENTAL HEALTH AND DEVELOPMENTAL SERVICES

MEDICARE: HENRICO AREA MENTAL HEALTH AND DEVELOPMENTAL SERVICES
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)099VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659457927
Entity Type Code : Organization
Provider Name (Legal Business Name) : HENRICO AREA MENTAL HEALTH AND DEVELOPMENTAL SERVICES
Provider Business Mailing Address
First Line : 10299 WOODMAN RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060
Country : US
Telephone Number : 804-727-8500
Fax Number : 804-727-8580
Provider Business Practice Location Address
First Line : 10299 WOODMAN RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-4419
Country : US
Telephone Number : 804-727-8500
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. LAURA TOTTY
Credential :
Telephone Number : 804-727-8585
Provider Enumeration Date : 10/30/2006
Last Update Date : 04/12/2018

Similar Medicare Providers

1689698086 — MS. LISA MORRIS LCSW
Practice Location Address:
10299 WOODMAN ROAD
GLEN ALLEN, VA
23060-4419
Practice Phone: 804-727-8464
Practice Fax: 804-727-8364
1023119773 — HENRICO AREA MENTAL HEATLH AND DEVELOPMENTAL SERVICES
Practice Location Address:
10299 WOODMAN RD
GLEN ALLEN, VA
23060-4419
Practice Phone: 804-727-8500
Practice Fax:
1871640789 — KENT GALEN MCDANIEL M.D.
Practice Location Address:
10299 WOODMAN RD
GLEN ALLEN, VA
23060-4419
Practice Phone: 804-261-8500
Practice Fax:
1902946361 — DEBRA BETH BERNARD LCSW
Practice Location Address:
10299 WOODMAN RD
GLEN ALLEN, VA
23060-4419
Practice Phone: 804-727-8500
Practice Fax: 804-727-8580
1154461606 — MR. MICHAEL DAVID O'CONNOR LCSW
Practice Location Address:
10299 WOODMAN RD
GLEN ALLEN, VA
23060-4419
Practice Phone: 804-727-8500
Practice Fax: 804-727-8580
1033250378 — MS. CAROLYN YVONNE ARTHUR LCSW
Practice Location Address:
10299 WOODMAN RD
GLEN ALLEN, VA
23060-4419
Practice Phone: 804-727-8500
Practice Fax: 804-727-8580

Directions to “HENRICO AREA MENTAL HEALTH AND DEVELOPMENTAL SERVICES ” Practice Location

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