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NPI Code Detail

MEDICARE: RIVER CITY COMPREHENSIVE COUNSELING SERVICES, LLC

MEDICARE: RIVER CITY COMPREHENSIVE COUNSELING SERVICES, 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
1320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
2251S00000XCommunity/Behavioral Health Agency1153VA

General Provider Information

NPI Number : 1811237761
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER CITY COMPREHENSIVE COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 2604 N PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23294-4649
Country : US
Telephone Number : 804-230-0999
Fax Number : 804-230-0998
Provider Business Practice Location Address
First Line : 2604 N PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23294-4649
Country : US
Telephone Number : 804-230-0999
Fax Number : 804-230-0998
Authorized Official
Title or Position : OWNER/CEO
Name : MR. JAMES G CHRISTMAS III
Credential : LCSW
Telephone Number : 804-230-0999
Provider Enumeration Date : 02/28/2013
Last Update Date : 04/22/2025

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Directions to “RIVER CITY COMPREHENSIVE COUNSELING SERVICES, LLC ” Practice Location

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