Healthcare Provider Details

I. General information

NPI: 1144786815
Provider Name (Legal Business Name): RICHMOND THERAPEUTIC HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 WESTWOOD AVE STE E
RICHMOND VA
23230-4006
US

IV. Provider business mailing address

2405 WESTWOOD AVE STE E
RICHMOND VA
23230-4006
US

V. Phone/Fax

Practice location:
  • Phone: 804-335-8668
  • Fax: 804-781-9501
Mailing address:
  • Phone: 804-335-8668
  • Fax: 804-781-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSHUA BRINKLEY
Title or Position: CEO
Credential: B.S., QMHP-A, QMHP-C
Phone: 804-908-4879