Healthcare Provider Details

I. General information

NPI: 1790446961
Provider Name (Legal Business Name): RICHMOND AREA CLINICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 BOULDERS PKWY STE 410
NORTH CHESTERFIELD VA
23225-5549
US

IV. Provider business mailing address

11618 LONTOWN MEWS
MIDLOTHIAN VA
23112
US

V. Phone/Fax

Practice location:
  • Phone: 804-245-6372
  • Fax: 804-843-8016
Mailing address:
  • Phone: 804-245-6372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROBIN DEHAVEN-ROBERTS
Title or Position: CEO
Credential: LPC,LSATP
Phone: 804-245-6372