Healthcare Provider Details

I. General information

NPI: 1679173603
Provider Name (Legal Business Name): TONYA BEERS-WARMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TONYA LEA WARMAN LPC

II. Dates (important events)

Enumeration Date: 10/28/2020
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 W GRACE ST
RICHMOND VA
23220-1912
US

IV. Provider business mailing address

2723 W GRACE ST
RICHMOND VA
23220-1912
US

V. Phone/Fax

Practice location:
  • Phone: 804-401-6947
  • Fax: 804-369-9709
Mailing address:
  • Phone: 804-401-6947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701008892
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: