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NPI Code Detail

MEDICARE: DOMINION BEHAVIORAL HEALTHCARE

MEDICARE: DOMINION BEHAVIORAL HEALTHCARE
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 Counselor0904000405VA

General Provider Information

NPI Number : 1427075449
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOMINION BEHAVIORAL HEALTHCARE
Provider Business Mailing Address
First Line : 2301 N PARHAM RD STE 5
Second Line :
City : RICHMOND
State : VA
Zip : 23229-3171
Country : US
Telephone Number : 804-270-1124
Fax Number : 804-270-2090
Provider Business Practice Location Address
First Line : 2301 N PARHAM RD STE 5
Second Line :
City : RICHMOND
State : VA
Zip : 23229-3171
Country : US
Telephone Number : 804-270-1124
Fax Number : 804-270-2090
Authorized Official
Title or Position : OWNER
Name : MS. DIANNE ZITTO HENSLEY
Credential : LCSW
Telephone Number : 804-270-1124
Provider Enumeration Date : 07/16/2006
Last Update Date : 11/28/2022

Similar Medicare Providers

1164372983 — MS. JESSICA KNOX HAINES PMHNP
Practice Location Address:
2301 N PARHAM RD STE 5
RICHMOND, VA
23229-3171
Practice Phone: 804-270-1124
Practice Fax:
1548220502 — MR. LOWELL EDWARD THOMAS III LPC; LMFT
Practice Location Address:
2301 N PARHAM RD STE 5
RICHMOND, VA
23229-3171
Practice Phone: 804-270-1124
Practice Fax: 804-270-2090
1538189923 — DR. HOWARD ANDREW FRATKIN DDS
Practice Location Address:
2301 N PARHAM RD , SUITE 2
RICHMOND, VA
23229-3171
Practice Phone: 804-346-4066
Practice Fax: 804-346-5100
1487762191 — MR. JOHN H HAMLETT LPC LMFT
Practice Location Address:
2301 N PARHAM RD STE 5
RICHMOND, VA
23229-3171
Practice Phone: 804-270-1124
Practice Fax: 804-270-2090
1801973805 — DR. JHANSI RANI MEAD M.D.
Practice Location Address:
2301 N PARHAM RD STE 5
RICHMOND, VA
23229-3171
Practice Phone: 804-270-1124
Practice Fax: 804-270-2090
1104969807 — MR. JAMES STEWART WILLIS III M.S.
Practice Location Address:
2301 N PARHAM RD STE 5
RICHMOND, VA
23229-3171
Practice Phone: 804-270-1124
Practice Fax:

Directions to “DOMINION BEHAVIORAL HEALTHCARE ” Practice Location

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