| Thriveworks Chesterfield | |
|
9846 Lori Rd. Ste 201 Chesterfield VA 23832 | |
| (804) 419-4122 | |
| (804) 419-4122 |
| Full Name | Thriveworks Chesterfield |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9846 Lori Rd., Chesterfield, Virginia |
| Authorized Official Name and Position | Christina Lee Blaylock (OWNER) |
| Authorized Official Contact | 8044194122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Chesterfield 9846 Lori Rd. Ste 201 Chesterfield VA 23832 Ph: (804) 419-4122 | Thriveworks Chesterfield 9846 Lori Rd. Ste 201 Chesterfield VA 23832 Ph: (804) 419-4122 |
| NPI Number | 1568881084 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568881084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003316 (Virginia) | Primary |
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