| Village Behavioral Health | |
|
2025 E Main St Suite 104 Richmond VA 23223-7069 | |
| (804) 225-0749 | |
| (804) 225-0753 |
| Full Name | Village Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2025 E Main St, Richmond, Virginia |
| Authorized Official Name and Position | Khidhra S Smith (CEO) |
| Authorized Official Contact | 8045517363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Behavioral Health 2025 E Main St Ste 7 Richmond VA 23223-7069 Ph: (804) 225-0749 | Village Behavioral Health 2025 E Main St Suite 104 Richmond VA 23223-7069 Ph: (804) 225-0749 |
| NPI Number | 1093138455 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093138455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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