| Nomadic Behavioral Health | |
|
1806 Summit Ave Ste 300 Richmond VA 23230-4339 | |
| (804) 464-8301 | |
| (804) 964-3159 |
| Full Name | Nomadic Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1806 Summit Ave Ste 300, Richmond, Virginia |
| Authorized Official Name and Position | Terry L. Taylor (OWNER) |
| Authorized Official Contact | 8045314732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nomadic Behavioral Health 1405 S Fern St # 98484 Arlington VA 22202-2810 Ph: (804) 531-4732 | Nomadic Behavioral Health 1806 Summit Ave Ste 300 Richmond VA 23230-4339 Ph: (804) 464-8301 |
| NPI Number | 1366125569 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 07/07/2024 |
| Certification Date | 07/07/2024 |
| Medicare PECOS PAC ID | 8022453505 |
|---|---|
| Medicare Enrollment ID | O20240225000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366125569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Terry Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023530565 PECOS PAC ID: 1658643812 Enrollment ID: I20190425000031 |
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