MEDICARE: INTERNALIZE MENTAL HEALTH PERSPECTIVE 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	1842	VA

General Provider Information

NPI Number	:	1477893428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNALIZE MENTAL HEALTH PERSPECTIVE SERVICES , LLC

Provider Business Mailing Address
First Line	:	1733 FIRST COLONIAL CT
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23231-6892
Country	:	US
Telephone Number	:	804-723-4766
Fax Number	:	804-222-8122

Provider Business Practice Location Address
First Line	:	7277 HANOVER GREEN DR STE A1
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-1764
Country	:	US
Telephone Number	:	804-723-4766
Fax Number	:	804-222-8122

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. JACALYN DENICE JACKSON
Credential	:
Telephone Number	:	804-723-4766

Provider Enumeration Date	:	02/27/2013
Last Update Date	:	09/20/2016

Similar Medicare Providers

1437034089 — LIFE EVOLVE LLC
Practice Location Address:

7277 HANOVER GREEN DR
MECHANICSVILLE, VA
23111-1764

Practice Phone: 804-437-0237
Practice Fax:

1982703906 — TAMMY DARLENE KIRBY LPC
Practice Location Address:

7277 HANOVER GREEN DR , SUITE A-2
MECHANICSVILLE, VA
23111-1764

Practice Phone: 804-730-9660
Practice Fax: 804-569-7722

1215424288 — REFLECTIONS COUNSELING LLC
Practice Location Address:

7277 HANOVER GREEN DR STE M2
MECHANICSVILLE, VA
23111-1764

Practice Phone: 804-223-2448
Practice Fax:

1801644430 — A STEP UP LLC
Practice Location Address:

7277 HANOVER GREEN DR STE A2
MECHANICSVILLE, VA
23111-1764

Practice Phone: 804-939-9904
Practice Fax:

1144034992 — LIVE LIFE IN FULL BLOOM TOO LLC
Practice Location Address:

7277 HANOVER GREEN DR STE A2
MECHANICSVILLE, VA
23111-1764

Practice Phone: 804-933-8357
Practice Fax:

1306369582 — DR. ALLISON H TRAN DDS
Practice Location Address:

7089 MECHANICSVILLE TPKE STE A
MECHANICSVILLE, VA
23111-3609

Practice Phone: 804-417-7788
Practice Fax:

Directions to “INTERNALIZE MENTAL HEALTH PERSPECTIVE 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.