Healthcare Provider Details

I. General information

NPI: 1770173494
Provider Name (Legal Business Name): ARLENE PITCHFORD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2021
Last Update Date: 10/29/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E CARY ST
RICHMOND VA
23219-3816
US

IV. Provider business mailing address

420 E CARY ST
RICHMOND VA
23219-3816
US

V. Phone/Fax

Practice location:
  • Phone: 804-819-4100
  • Fax: 804-819-4263
Mailing address:
  • Phone: 804-819-4100
  • Fax: 804-819-4263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1770173494
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1770173494
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: