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NPI Code Detail

MEDICARE: RICHMOND BEHAVIORAL HEALTH AUTHORITY

MEDICARE: RICHMOND BEHAVIORAL HEALTH AUTHORITY
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3207QA0000XAdolescent Medicine (Family Medicine) Physician
4207RA0401XAddiction Medicine (Internal Medicine) Physician
5363LF0000XFamily Nurse Practitioner
6251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184715328
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND BEHAVIORAL HEALTH AUTHORITY
Provider Business Mailing Address
First Line : 107 S 5TH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-3825
Country : US
Telephone Number : 804-819-4000
Fax Number : 804-819-4268
Provider Business Practice Location Address
First Line : 107 S 5TH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23219-3825
Country : US
Telephone Number : 804-819-4000
Fax Number : 804-819-4268
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. JOHN P LINDSTROM
Credential : PH.D.
Telephone Number : 804-819-5216
Provider Enumeration Date : 09/27/2006
Last Update Date : 09/27/2023

Similar Medicare Providers

1043174642 — MRS. LISA NICOLE SAUNDERS
Practice Location Address:
107 S 5TH ST
RICHMOND, VA
23219-3825
Practice Phone: 804-819-4000
Practice Fax: 804-819-5221
1689690026 — MRS. GERALDINE TILLETT NEELY LCSW
Practice Location Address:
107 S 5TH ST
RICHMOND, VA
23219-3825
Practice Phone: 804-819-4000
Practice Fax:
1861416919 — KRISTEN SCOTT
Practice Location Address:
107 S 5TH ST
RICHMOND, VA
23219-3825
Practice Phone: 804-819-4000
Practice Fax:
1285658328 — KATHERINE FAINA LCSW, CSAC
Practice Location Address:
107 SOUTH 5TH ST
RICHMOND, VA
23219-3825
Practice Phone: 804-819-4000
Practice Fax: 804-819-5221
1780787895 — KATHY ROSSER TIERNEY LNP,CNS
Practice Location Address:
107 S 5TH ST
RICHMOND, VA
23219-3825
Practice Phone: 804-819-4236
Practice Fax: 804-819-4266
1720179534 — DR. PEARL J BADER M.D.
Practice Location Address:
107 S 5TH ST
RICHMOND, VA
23219-3825
Practice Phone: 804-819-4000
Practice Fax: 804-819-4268

Directions to “RICHMOND BEHAVIORAL HEALTH AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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