MEDICARE: SONYA CHILES R-CPRS

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	175T00000X	Peer Specialist		VA

General Provider Information

NPI Number	:	1336891043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA CHILES R-CPRS

Provider Business Mailing Address
First Line	:	1401 NELSON ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-3721
Country	:	US
Telephone Number	:	804-637-0502
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 TRAFTON ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23222-2036
Country	:	US
Telephone Number	:	804-258-0691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	02/08/2026

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Directions to “ SONYA CHILES R-CPRS” Practice Location

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