Healthcare Provider Details

I. General information

NPI: 1518570043
Provider Name (Legal Business Name): IPSYCHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 08/09/2025
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 OLD BRICK RD STE 138
GLEN ALLEN VA
23060
US

IV. Provider business mailing address

1920 DRESDEN DR NE UNIT 190025
BROOKHEVEN GA
30319
US

V. Phone/Fax

Practice location:
  • Phone: 888-779-2470
  • Fax:
Mailing address:
  • Phone: 888-779-2470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DOLIN
Title or Position: VICE PRESIDENT
Credential:
Phone: 888-779-2470