River City Integrative Counseling | |
2604 N Parham Rd Richmond VA 23294-4649 | |
(804) 230-0999 | |
(804) 230-0998 |
Full Name | River City Integrative Counseling |
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Speciality | Community/Behavioral Health |
Location | 2604 N Parham Rd, Richmond, Virginia |
Authorized Official Name and Position | James G Christmas (CEO AND CLINICAL DIRECTOR) |
Authorized Official Contact | 8042300999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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River City Integrative Counseling Po Box 2549 Glen Allen VA 23058-2549 Ph: (804) 230-0999 | River City Integrative Counseling 2604 N Parham Rd Richmond VA 23294-4649 Ph: (804) 230-0999 |
NPI Number | 1619369444 |
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Provider Enumeration Date | 03/03/2015 |
Last Update Date | 01/18/2024 |
Certification Date | 01/18/2024 |
Medicare PECOS PAC ID | 6901156058 |
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Medicare Enrollment ID | O20180911001512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619369444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | James G Christmas |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053388967 PECOS PAC ID: 2769587237 Enrollment ID: I20070412000358 |
Provider Name | Carrie S Meyer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104361583 PECOS PAC ID: 8628326568 Enrollment ID: I20180808002938 |
Provider Name | Jacob E Rheaume |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043725641 PECOS PAC ID: 0244580256 Enrollment ID: I20180912000360 |
Provider Name | Gideon Javna |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366985228 PECOS PAC ID: 9234489204 Enrollment ID: I20180912003050 |
Provider Name | Corrine M Thompson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912381872 PECOS PAC ID: 1557612439 Enrollment ID: I20180918000482 |
Provider Name | Alison Youmell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043691413 PECOS PAC ID: 8022356492 Enrollment ID: I20190208002847 |
Provider Name | Kelly Humes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902489875 PECOS PAC ID: 0840696837 Enrollment ID: I20210830002864 |
Provider Name | Jamie Armstrong |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740863612 PECOS PAC ID: 2163820960 Enrollment ID: I20211008001069 |
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