Healthcare Provider Details

I. General information

NPI: 1861529927
Provider Name (Legal Business Name): SHEPHERD'S STAFF MINISTRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 BUFORD RD
RICHMOND VA
23235-4637
US

IV. Provider business mailing address

828 BUFORD RD
RICHMOND VA
23235-4637
US

V. Phone/Fax

Practice location:
  • Phone: 804-327-0707
  • Fax: 804-327-0708
Mailing address:
  • Phone: 804-327-0707
  • Fax: 804-327-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC0701003887
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000003
License Number StateVA

VIII. Authorized Official

Name: MAURICE GRAHAM
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-327-0707