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General NPI Number Information
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NPI Number | 1629955471
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Entity Type | Organization
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Legal Business Name | RICHARDSON COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 12/28/2025
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Provider Practice Location Address
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Address Line | 2409 INGRAM AVE
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City | RICHMOND
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State | VA
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Zip | 23224-6713
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Country | US
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Telephone | 804-688-9115
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Fax |
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Provider Business Mailing Address
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Address Line | 2409 INGRAM AVE
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City | RICHMOND
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State | VA
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Zip | 23224-6713
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Country | US
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Telephone | 804-688-9115
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JAQUETTA D RICHARDSON
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Credential | QMHP
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Telephone | 804-688-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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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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