MEDICARE: ONESOURCE COMMUNITY MENTAL HEALTH SERVICES OF VA, INC.

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	1582-01-011	VA
2	251S00000X	Community/Behavioral Health Agency	1582-02-006	VA
3	251S00000X	Community/Behavioral Health Agency	1582-02-029	VA
4	251S00000X	Community/Behavioral Health Agency	1582-03-001	VA
5	251S00000X	Community/Behavioral Health Agency	1582-05-001	VA
6	251S00000X	Community/Behavioral Health Agency	1582-07-001	VA
7	251S00000X	Community/Behavioral Health Agency	1582-17-001	VA
8	251S00000X	Community/Behavioral Health Agency	1582	VA

General Provider Information

NPI Number	:	1518298983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONESOURCE COMMUNITY MENTAL HEALTH SERVICES OF VA, INC.

Provider Business Mailing Address
First Line	:	PO BOX 74100
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23236-0002
Country	:	US
Telephone Number	:	804-230-4760
Fax Number	:	804-230-4766

Provider Business Practice Location Address
First Line	:	7806 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1931
Country	:	US
Telephone Number	:	804-310-2444
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	STEPHEN PARSON
Credential	:
Telephone Number	:	804-310-2444

Provider Enumeration Date	:	01/24/2010
Last Update Date	:	05/01/2023

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