| Richlife Behavior Consulting | |
|
12 Decatur St Portsmouth VA 23702-2115 | |
| (757) 998-0616 | |
| Not Available |
| Full Name | Richlife Behavior Consulting |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12 Decatur St, Portsmouth, Virginia |
| Authorized Official Name and Position | Shavonne Patriese Richardson (CEO) |
| Authorized Official Contact | 7579980616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richlife Behavior Consulting 12 Decatur St Portsmouth VA 23702-2115 Ph: (757) 998-0616 | Richlife Behavior Consulting 12 Decatur St Portsmouth VA 23702-2115 Ph: (757) 998-0616 |
| NPI Number | 1285310441 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285310441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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