Healthcare Provider Details

I. General information

NPI: 1902661036
Provider Name (Legal Business Name): VIRGINIA TMS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 NORTHSIDE AVE STE 200
RICHMOND VA
23228-5441
US

IV. Provider business mailing address

5409 DORCHESTER RD
RICHMOND VA
23225-3017
US

V. Phone/Fax

Practice location:
  • Phone: 804-476-8274
  • Fax:
Mailing address:
  • Phone: 919-360-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLES BEASLEY JR.
Title or Position: OWNER
Credential: MD
Phone: 804-476-8274