Healthcare Provider Details

I. General information

NPI: 1740867134
Provider Name (Legal Business Name): HELEN FAITH BASED TRANSITIONAL HOUSING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 REX AVE
RICHMOND VA
23222-1035
US

IV. Provider business mailing address

709 REX AVE
RICHMOND VA
23222-1035
US

V. Phone/Fax

Practice location:
  • Phone: 804-593-9950
  • Fax:
Mailing address:
  • Phone: 804-593-9950
  • Fax:

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: MRS. HELEN CATHERENE VALENTINE
Title or Position: OWNER
Credential: CSAC-A, BS, MS. RPRS
Phone: 804-593-9950