Healthcare Provider Details

I. General information

NPI: 1306859988
Provider Name (Legal Business Name): CLINICAL ALTERNATIVES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5412 GLENSIDE DR STE F
RICHMOND VA
23228-3995
US

IV. Provider business mailing address

5412 GLENSIDE DR STE F
RICHMOND VA
23228-3995
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-5880
  • Fax: 804-288-2029
Mailing address:
  • Phone: 804-282-5880
  • Fax: 804-288-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0904002088
License Number StateVA

VIII. Authorized Official

Name: MS. DENITA CLAUSI
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 804-282-5880