Healthcare Provider Details

I. General information

NPI: 1396104410
Provider Name (Legal Business Name): MAMA REES CHILD DEVELOPMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 WILLIAMSBURG RD STE L
RICHMOND VA
23231-2748
US

IV. Provider business mailing address

4501 WILLIAMSBURG RD STE L
RICHMOND VA
23231-2748
US

V. Phone/Fax

Practice location:
  • Phone: 804-222-1648
  • Fax:
Mailing address:
  • Phone: 804-222-1648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHEREE SNEAD
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 12024137545