MYSPECTRUM LLC NPI 1174029359

NPI Information

  • NPI: 1174029359
  • Provider Name: MYSPECTRUM LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 707 N COURTHOUSE RD
    NORTH CHESTERFIELD, VA
    ZIP 23236
  • Phone: (804) 332-5696

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NPI Details

MYSPECTRUM LLC is a mental health counselor in North Chesterfield, VA. MYSPECTRUM LLC NPI is 1174029359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

707 N COURTHOUSE RD
NORTH CHESTERFIELD, VA
ZIP 23236-045
Phone: (804) 332-5696
Fax: (866) 626-4469

The provider's authorized official is Suzanne Christopher .
The authorized official title is Director and has the following contact phone number (804) 332-5696.

The enumeration date for this NPI number is 4/5/2018 and was last updated on 6/21/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11174029359MEDICAIDVIRGINIA

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: 11/21/2025

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