MEDICARE: INDIVIDUALIZED TREATMENT 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1275389660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIVIDUALIZED TREATMENT SERVICES LLC

Provider Business Mailing Address
First Line	:	3600 WOODMERE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23234-3060
Country	:	US
Telephone Number	:	804-922-1685
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 N COURTHOUSE RD STE 201I
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23236-4068
Country	:	US
Telephone Number	:	804-922-1685
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHELLE SHERRELL JOHNSON
Credential	:
Telephone Number	:	804-922-1685

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/25/2024

Similar Medicare Providers

1194446567 — SUNSHINE COUNSELING
Practice Location Address:

605 N COURTHOUSE RD STE 201B
NORTH CHESTERFIELD, VA
23236-4068

Practice Phone: 804-647-1960
Practice Fax:

1902652761 — COMMONWEALTH CARING CONNECTIONS
Practice Location Address:

605 N COURTHOUSE RD STE 201B
NORTH CHESTERFIELD, VA
23236-4068

Practice Phone: 804-946-0060
Practice Fax:

1821195801 — CARL D. OUTEN, MD, PC
Practice Location Address:

605 N COURTHOUSE RD , STE 101
RICHMOND, VA
23236-4068

Practice Phone: 804-794-1334
Practice Fax: 804-794-3927

1114024189 — CARL D OUTEN M.D.
Practice Location Address:

605 N COURTHOUSE RD , STE 101
RICHMOND, VA
23236-4068

Practice Phone: 804-794-1334
Practice Fax: 804-794-3927

1073595997 — DR. ABDUL MAJEED KHATRI M.D.
Practice Location Address:

1209 NORTH MOUND ST
NACOGDOCHES, TX
75961-4068

Practice Phone: 936-560-1066
Practice Fax: 936-560-9751

1881815256 — HEALING HANDS SPECIALISTS INC
Practice Location Address:

16546 NE 26TH AVE , APT.4C
NORTH MIAMI BEACH, FL
33160-4068

Practice Phone: 786-547-6677
Practice Fax:

Directions to “INDIVIDUALIZED TREATMENT SERVICES LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.