| Richmond Therapy Center | |
|
2008 Bremo Rd Suite 103 Richmond VA 23226-2443 | |
| (804) 282-8282 | |
| (804) 282-8284 |
| Full Name | Richmond Therapy Center |
|---|---|
| Speciality | Social Worker |
| Location | 2008 Bremo Rd, Richmond, Virginia |
| Authorized Official Name and Position | Emma Holton (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 8046432287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Therapy Center 2008 Bremo Rd Suite 103 Richmond VA 23226-2443 Ph: (804) 282-8282 | Richmond Therapy Center 2008 Bremo Rd Suite 103 Richmond VA 23226-2443 Ph: (804) 282-8282 |
| NPI Number | 1902150568 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Medicare PECOS PAC ID | 2264686948 |
|---|---|
| Medicare Enrollment ID | O20130205000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902150568 | NPI | - | NPPES |
| Provider Name | Vanessa M Ellison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710495635 PECOS PAC ID: 8022354778 Enrollment ID: I20190116003437 |
| Provider Name | Christopher R. Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740520329 PECOS PAC ID: 2567703788 Enrollment ID: I20190416001088 |
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