Healthcare Provider Details

I. General information

NPI: 1902789753
Provider Name (Legal Business Name): MRS. GLORIA A BROWDER-PARHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5511 MIDWAY RD
CHURCH ROAD VA
23833-3310
US

IV. Provider business mailing address

14016 BOYDTON PLANK ROAD PO BOX 7
DINWIDDIE VA
23841
US

V. Phone/Fax

Practice location:
  • Phone: 804-265-4205
  • Fax: 804-265-4209
Mailing address:
  • Phone: 804-469-4190
  • Fax: 804-469-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: