Healthcare Provider Details

I. General information

NPI: 1508974296
Provider Name (Legal Business Name): HARRY L ALMOND JR. LCJW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 SANTA ROSA RD SUITE 211 MCA INC
RICHMOND VA
23229
US

IV. Provider business mailing address

1503 SANTA ROSA RD SUITE 211 MCA INC
RICHMOND VA
23229
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-9100
  • Fax: 804-282-3266
Mailing address:
  • Phone: 804-282-9100
  • Fax: 804-282-3266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904001338
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: