MEDICARE: CLINICAL ALTERNATIVES, P.C.

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	101Y00000X	Counselor	0904002088	VA

General Provider Information

NPI Number	:	1306859988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL ALTERNATIVES, P.C.

Provider Business Mailing Address
First Line	:	5412 GLENSIDE DR STE F
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-3995
Country	:	US
Telephone Number	:	804-282-5880
Fax Number	:	804-288-2029

Provider Business Practice Location Address
First Line	:	5412 GLENSIDE DR STE F
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-3995
Country	:	US
Telephone Number	:	804-282-5880
Fax Number	:	804-288-2029

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	MS. DENITA CLAUSI
Credential	:	LCSW
Telephone Number	:	804-282-5880

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	04/18/2011

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