Healthcare Provider Details

I. General information

NPI: 1164137006
Provider Name (Legal Business Name): CANDOR THERAPY NETWORK PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N ARTHUR ASHE BLVD
RICHMOND VA
23220-4304
US

IV. Provider business mailing address

112 N ARTHUR ASHE BLVD
RICHMOND VA
23220-4304
US

V. Phone/Fax

Practice location:
  • Phone: 703-249-9890
  • Fax:
Mailing address:
  • Phone: 703-249-9890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MEGAN DAVIDSON
Title or Position: THERAPIST AND CO-OWNER
Credential: LPC, MED
Phone: 703-249-9890