| Dominion Day Services | |
|
5408 Chamberlayne Rd Richmond VA 23227-2407 | |
| (804) 285-9838 | |
| (804) 285-9839 |
| Full Name | Dominion Day Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5408 Chamberlayne Rd, Richmond, Virginia |
| Authorized Official Name and Position | Ebony Cowan (BILLING MANAGER) |
| Authorized Official Contact | 8043166656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Day Services 1640 E Parham Rd Richmond VA 23228-2368 Ph: (804) 316-6656 | Dominion Day Services 5408 Chamberlayne Rd Richmond VA 23227-2407 Ph: (804) 285-9838 |
| NPI Number | 1629169016 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629169016 | NPI | - | NPPES |
| 004944500 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 101YM0800X (Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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