Healthcare Provider Details

I. General information

NPI: 1588616270
Provider Name (Legal Business Name): MELINDA COLLETT BROWN LCSW, CHWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELINDA S COLLETT LCSW, CHWC

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 BROAD ROCK RD
RICHMOND VA
23249-1433
US

IV. Provider business mailing address

153 S COLONIAL AVE
RICHMOND VA
23221-3517
US

V. Phone/Fax

Practice location:
  • Phone: 804-675-5000
  • Fax:
Mailing address:
  • Phone: 804-675-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3327
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number161790
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904017559
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: