| Henry M Matthews Jr | |
|
5821 Staples Mill Rd Richmond VA 23228-5427 | |
| (804) 264-0966 | |
| (804) 264-1029 |
| Full Name | Henry M Matthews Jr |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5821 Staples Mill Rd, Richmond, Virginia |
| Authorized Official Name and Position | Tawana Taylor (ACCOUNT MANAGER) |
| Authorized Official Contact | 8042508203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry M Matthews Jr 5821 Staples Mill Rd Richmond VA 23228-5427 Ph: (804) 264-0966 | Henry M Matthews Jr 5821 Staples Mill Rd Richmond VA 23228-5427 Ph: (804) 264-0966 |
| NPI Number | 1407542475 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407542475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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