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General NPI Number Information
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NPI Number | 1285322628
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Entity Type | Organization
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Legal Business Name | RICHMOND CREATIVE COUNSELING
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2550 PROFESSIONAL RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-3214
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Country | US
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Telephone | 804-592-6311
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Fax | 844-905-1362
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Provider Business Mailing Address
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Address Line | 1900 BYRD AVE
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City | RICHMOND
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State | VA
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Zip | 23230-3033
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Country | US
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Telephone | 804-592-6311
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Fax | 844-905-1362
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | CARRIE WALKER
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Credential |
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Telephone | 804-592-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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