Healthcare Provider Details

I. General information

NPI: 1720598857
Provider Name (Legal Business Name): RUACH CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 10/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 CIRCLEWOOD DR
RICHMOND VA
23224-1601
US

IV. Provider business mailing address

613 CIRCLEWOOD DR
RICHMOND VA
23224-1601
US

V. Phone/Fax

Practice location:
  • Phone: 804-539-6117
  • Fax: 804-220-9404
Mailing address:
  • Phone: 804-539-6117
  • Fax: 804-220-9404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALVA CARTER KERSHAW
Title or Position: DIRECTOR
Credential: LCSW
Phone: 804-928-3493