Healthcare Provider Details

I. General information

NPI: 1063090082
Provider Name (Legal Business Name): HELEN CATHERENE VALENTINE CSAC-A, AA, BS, MS,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 03/31/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 REX AVE
RICHMOND VA
23222-1035
US

IV. Provider business mailing address

709 REX AVE
RICHMOND VA
23222-1035
US

V. Phone/Fax

Practice location:
  • Phone: 804-593-9950
  • Fax:
Mailing address:
  • Phone: 804-593-9950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: