Healthcare Provider Details

I. General information

NPI: 1902054935
Provider Name (Legal Business Name): RICHMOND THERAPY CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 01/07/2022
Certification Date: 01/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 COALFIELD RD
MIDLOTHIAN VA
23114-4403
US

IV. Provider business mailing address

400 COALFIELD RD
MIDLOTHIAN VA
23114-4403
US

V. Phone/Fax

Practice location:
  • Phone: 804-897-7440
  • Fax: 804-897-7441
Mailing address:
  • Phone: 804-897-7440
  • Fax: 804-897-7441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number0119000956
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202005085
License Number StateVA

VIII. Authorized Official

Name: KAYLA MAY
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 804-897-7440