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NPI Code Detail

MEDICARE: VIRGINIA CHILD & FAMILY HEALTH SERVICES, LLC

MEDICARE: VIRGINIA CHILD & FAMILY HEALTH SERVICES, LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1134406218
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA CHILD & FAMILY HEALTH SERVICES, LLC
Provider Business Mailing Address
First Line : 1518 WILLOW LAWN DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3419
Country : US
Telephone Number : 804-266-9474
Fax Number :
Provider Business Practice Location Address
First Line : 1518 WILLOW LAWN DR
Second Line :
City : RICHMOND
State : VA
Zip : 23230-3419
Country : US
Telephone Number : 804-266-9474
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ELLIOTT COX
Credential : MSW
Telephone Number : 804-266-9474
Provider Enumeration Date : 11/03/2011
Last Update Date : 11/03/2011

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Directions to “VIRGINIA CHILD & FAMILY HEALTH SERVICES, LLC ” Practice Location

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