Healthcare Provider Details

I. General information

NPI: 1720789142
Provider Name (Legal Business Name): STARCITY BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2023
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5511 STAPLES MILL RD STE 300
RICHMOND VA
23228-5445
US

IV. Provider business mailing address

PO BOX 2549
GLEN ALLEN VA
23058-2549
US

V. Phone/Fax

Practice location:
  • Phone: 804-773-4411
  • Fax:
Mailing address:
  • Phone: 804-683-6580
  • Fax: 804-230-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE BELLANGER
Title or Position: OWNER
Credential:
Phone: 732-504-9567