Healthcare Provider Details
I. General information
NPI: 1114664794
Provider Name (Legal Business Name): ADRIEN L STEELE, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2022
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6964 FOREST HILL AVE STE B
RICHMOND VA
23225-1660
US
IV. Provider business mailing address
10008 NORTHLAND DR
RICHMOND VA
23236-5512
US
V. Phone/Fax
- Phone: 804-556-1998
- Fax: 804-320-8738
- Phone: 804-283-0442
- Fax: 804-320-8738
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADRIEN
STEELE
Title or Position: OWNER
Credential: LCSW
Phone: 804-283-0442