Healthcare Provider Details

I. General information

NPI: 1467918342
Provider Name (Legal Business Name): CPHS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 NEWSTEAD DR
NORTH CHESTERFIELD VA
23235-5320
US

IV. Provider business mailing address

PO BOX 36171
NORTH CHESTERFIELD VA
23235-8003
US

V. Phone/Fax

Practice location:
  • Phone: 804-303-1907
  • Fax:
Mailing address:
  • Phone: 804-303-1907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHERRELLE BEVERLY
Title or Position: CEO
Credential: MPH
Phone: 804-303-1907