IASIS COUNSELING AND CONSULTING SERVICES NPI 1013350552

NPI Information

NPI: 1013350552
Provider Name: IASIS COUNSELING AND CONSULTING SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4609 W BROAD ST
SUITE A2
RICHMOND, VA
ZIP 23230
Phone: (804) 355-2333
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IASIS COUNSELING AND CONSULTING SERVICES is a mental health counselor in Richmond, VA. IASIS COUNSELING AND CONSULTING SERVICES NPI is 1013350552. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4609 W BROAD ST
SUITE A2
RICHMOND, VA
ZIP 23230-205
Phone: (804) 355-2333
Fax: (804) 355-3540

The provider's authorized official is Thea A Green .
The authorized official title is Ceo and has the following contact phone number (804) 882-6163.

The enumeration date for this NPI number is 4/15/2013 and was last updated on 4/22/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0701004328	VIRGINIA	No
2	101YP1600X	Counselor	Pastoral	0701004328	VIRGINIA	No
3	101YP2500X	Counselor	Professional	0701004328	VIRGINIA	No
4	101YM0800X	Counselor	Mental Health	0701004328	VIRGINIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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