MEDICARE: VILLAGE FAMILY PSYCHIATRY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1134203474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE FAMILY PSYCHIATRY, PLLC

Provider Business Mailing Address
First Line	:	6714 PATTERSON AVE
Second Line	:	SUITE 103
City	:	RICHMOND
State	:	VA
Zip	:	23226-3432
Country	:	US
Telephone Number	:	804-285-8500
Fax Number	:	804-282-8029

Provider Business Practice Location Address
First Line	:	6714 PATTERSON AVE
Second Line	:	SUITE 103
City	:	RICHMOND
State	:	VA
Zip	:	23226-3432
Country	:	US
Telephone Number	:	804-285-8500
Fax Number	:	804-282-8029

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	DR. STEVEN JOHN WELTON
Credential	:	M.D.
Telephone Number	:	804-285-8500

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/22/2020

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