| Emh Of Greater Richmond Llc | |
|
9011 Arboretum Pkwy Ste 200 North Chesterfield VA 23236-3486 | |
| (804) 334-9198 | |
| Not Available |
| Full Name | Emh Of Greater Richmond Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9011 Arboretum Pkwy Ste 200, North Chesterfield, Virginia |
| Authorized Official Name and Position | Bradley J Mcnamara (OWNER & GENERAL MANAGER) |
| Authorized Official Contact | 8043349198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emh Of Greater Richmond Llc 5707 Fox Gate Ln Midlothian VA 23112-6546 Ph: (804) 334-9198 | Emh Of Greater Richmond Llc 9011 Arboretum Pkwy Ste 200 North Chesterfield VA 23236-3486 Ph: (804) 334-9198 |
| NPI Number | 1306568399 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Medicare PECOS PAC ID | 2668839002 |
|---|---|
| Medicare Enrollment ID | O20230531000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306568399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Patrick Gasparini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083369227 PECOS PAC ID: 5092101709 Enrollment ID: I20220406000778 |
| Provider Name | Lise Ottmar Fitzgerald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891295218 PECOS PAC ID: 7810349594 Enrollment ID: I20240118000719 |
| Provider Name | Audrice V Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427601608 PECOS PAC ID: 8921465360 Enrollment ID: I20240123004373 |
| Provider Name | Denise M Hill King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356720635 PECOS PAC ID: 7517306442 Enrollment ID: I20240411003155 |
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