Healthcare Provider Details

I. General information

NPI: 1609784834
Provider Name (Legal Business Name): LIVING STREAM CHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR STE V
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

303 COCKLETOWN RD
YORKTOWN VA
23692-4020
US

V. Phone/Fax

Practice location:
  • Phone: 948-209-0996
  • Fax: 948-209-0996
Mailing address:
  • Phone: 948-209-0996
  • Fax: 948-209-0996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA LM HILL
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 948-209-0996