Healthcare Provider Details

I. General information

NPI: 1316257678
Provider Name (Legal Business Name): OLMEJA AVOCACY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10045 MIDLOTHIAN TPKE STE 201
RICHMOND VA
23235-4857
US

IV. Provider business mailing address

10045 MIDLOTHIAN TPKE STE 201
RICHMOND VA
23235-4857
US

V. Phone/Fax

Practice location:
  • Phone: 804-301-5925
  • Fax:
Mailing address:
  • Phone: 804-301-5925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number251S00000X
License Number StateVA

VIII. Authorized Official

Name: MR. BYRON LINDSEY MEEKINS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 804-301-5925