Healthcare Provider Details

I. General information

NPI: 1841134236
Provider Name (Legal Business Name): ZOE POLITTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 RIVERS BEND BLVD
CHESTER VA
23836-8632
US

IV. Provider business mailing address

3228 BROOK RD APT 102
RICHMOND VA
23227-4852
US

V. Phone/Fax

Practice location:
  • Phone: 804-544-9044
  • Fax:
Mailing address:
  • Phone: 804-544-9044
  • Fax: 804-715-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0133005132
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: