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ULTIMATE OUTCOMES THERAPEUTIC SERVICES NPI 1801124607


NPI Information

NPI: 1801124607
Provider Name: ULTIMATE OUTCOMES THERAPEUTIC SERVICES

Doing Business As: ULTIMATE OUTCOMES THERAPUETIC SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4901 FITZHUGH AVE STE 200
RICHMOND, VA
ZIP 23230
Phone: (804) 213-0140
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ULTIMATE OUTCOMES THERAPEUTIC SERVICES is a community behavioral health in Richmond, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ULTIMATE OUTCOMES THERAPEUTIC SERVICES NPI is 1801124607. The provider is registered as an organization entity type.
The provider Is Doing Business As Ultimate Outcomes Therapuetic Services.

The provider's business location address is:

4901 FITZHUGH AVE STE 200
RICHMOND, VA
ZIP 23230-531
Phone: (804) 213-0140
Fax: (804) 213-0140

The provider's authorized official is Stephanie Bazemore .
The authorized official title is Administrator and has the following contact phone number (804) 213-0140.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 5/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health46405001VIRGINIANo
2251S00000XCommunity/Behavioral Health46403001VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11801124607MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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