Healthcare Provider Details

I. General information

NPI: 1689016735
Provider Name (Legal Business Name): RICHMOND CREATIVE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2013
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BYRD AVE SUITE 200
RICHMOND VA
23230-3033
US

IV. Provider business mailing address

1900 BYRD AVE SUITE 200
RICHMOND VA
23230-3033
US

V. Phone/Fax

Practice location:
  • Phone: 804-592-6311
  • Fax: 804-237-0532
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARRIE WALKER
Title or Position: OWNER
Credential:
Phone: 804-592-6311