Healthcare Provider Details

I. General information

NPI: 1164342473
Provider Name (Legal Business Name): LAKISHA DODSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9221 FOREST HILL AVE STE 1
RICHMOND VA
23235-6876
US

IV. Provider business mailing address

9221 FOREST HILL AVE STE 1
RICHMOND VA
23235-6876
US

V. Phone/Fax

Practice location:
  • Phone: 804-821-8443
  • Fax:
Mailing address:
  • Phone: 804-821-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number530494
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: