| Behavioral Health Alternatives, Llc | |
|
110 N Robinson St Ste 300 Richmond VA 23220-4459 | |
| (804) 367-3777 | |
| (804) 367-4209 |
| Full Name | Behavioral Health Alternatives, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 110 N Robinson St, Richmond, Virginia |
| Authorized Official Name and Position | Tharta Rena King (OWNER) |
| Authorized Official Contact | 8043677777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Alternatives, Llc 110 N Robinson St Ste 200 Richmond VA 23220-4460 Ph: (804) 367-3777 | Behavioral Health Alternatives, Llc 110 N Robinson St Ste 300 Richmond VA 23220-4459 Ph: (804) 367-3777 |
| NPI Number | 1750753596 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 07/14/2024 |
| Certification Date | 07/14/2024 |
| Medicare PECOS PAC ID | 4486942380 |
|---|---|
| Medicare Enrollment ID | O20161010000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750753596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 0024172537 (Virginia) | Primary |
| Provider Name | Tharta Rena King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366839276 PECOS PAC ID: 4183939275 Enrollment ID: I20151021003351 |
| Provider Name | Latoya Yvette Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752951 PECOS PAC ID: 6507262425 Enrollment ID: I20210901001084 |
| Provider Name | Kendal F Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588372346 PECOS PAC ID: 7517323199 Enrollment ID: I20230524002302 |
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