Healthcare Provider Details

I. General information

NPI: 1619655727
Provider Name (Legal Business Name): HEALTH SERVICES OF VIRGINIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/10/2023
Certification Date: 07/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7704 MIDDLEFIELD MEWS
CHESTERFIELD VA
23832-7599
US

IV. Provider business mailing address

2816 BYWATER DR APT 224
RICHMOND VA
23233-3399
US

V. Phone/Fax

Practice location:
  • Phone: 804-873-0147
  • Fax:
Mailing address:
  • Phone: 804-873-0147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AMIRA ADKINS
Title or Position: OWNER/CEO
Credential:
Phone: 804-873-0147