Healthcare Provider Details
I. General information
NPI: 1790659365
Provider Name (Legal Business Name): CADUCEUS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 W FRANKLIN ST STE 303
RICHMOND VA
23220-5048
US
IV. Provider business mailing address
100 W FRANKLIN ST STE 303
RICHMOND VA
23220-5048
US
V. Phone/Fax
- Phone: 804-489-0868
- Fax:
- Phone: 804-489-0868
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
SKINNER
Title or Position: OWNER
Credential: PHD
Phone: 804-489-0868