| Civitas Health Services, Inc. | |
|
5663 S Laburnum Ave Richmond VA 23231-4418 | |
| (804) 737-3917 | |
| (804) 737-3940 |
| Full Name | Civitas Health Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5663 S Laburnum Ave, Richmond, Virginia |
| Authorized Official Name and Position | Lemar Bowers (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8047373917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Civitas Health Services, Inc. 5663 S Laburnum Ave Richmond VA 23231-4418 Ph: (804) 737-3917 | Civitas Health Services, Inc. 5663 S Laburnum Ave Richmond VA 23231-4418 Ph: (804) 737-3917 |
| NPI Number | 1366727984 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 2961624994 |
|---|---|
| Medicare Enrollment ID | O20141106002486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366727984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1588 (Virginia) | Primary |
| Provider Name | Faith B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821469172 PECOS PAC ID: 1759677982 Enrollment ID: I20160914000766 |
| Provider Name | Sarah Elizabeth Matalavage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770091944 PECOS PAC ID: 1254760325 Enrollment ID: I20200413000339 |
Broad Rock Counseling And Training Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2545 Bellwood Road, Suite 112, Richmond, VA 23237 Phone: 804-275-9980 Fax: 804-275-9981 | |
Pbs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3018 W Clay St, Suite 204, Richmond, VA 23230 Phone: 804-447-4629 Fax: 804-447-4629 | |
Capstone Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1803 N 28th St, Richmond, VA 23223 Phone: 804-525-5386 Fax: 804-442-7069 | |
Rowe Counseling Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Brandon Rd Suite 117, Richmond, VA 23224 Phone: 804-677-1733 Fax: 804-230-1723 | |
Watchtower Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Semmes Ave Apt 613, Richmond, VA 23224 Phone: 804-929-8229 | |
You Matter Residential Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 S 5th St, Richmond, VA 23219 Phone: 804-447-6590 Fax: 804-447-3516 | |
New Living Serivices Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Summit Ave Ste 300, Richmond, VA 23230 Phone: 804-358-9679 |