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GROVE AVENUE PROFESSIONAL ASSOCIATES INC. NPI 1215143789


NPI Information

NPI: 1215143789
Provider Name: GROVE AVENUE PROFESSIONAL ASSOCIATES, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
505 LIBBIE AVE
RICHMOND, VA
ZIP 23226
Phone: (804) 288-8823
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GROVE AVENUE PROFESSIONAL ASSOCIATES, INC. is a clinical psychologist in Richmond, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. GROVE AVENUE PROFESSIONAL ASSOCIATES, INC. NPI is 1215143789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 LIBBIE AVE
RICHMOND, VA
ZIP 23226-617
Phone: (804) 288-8823
Fax: (804) 288-6423

The provider's authorized official is Leslie Ellis Montgomery .
The authorized official title is President and has the following contact phone number (804) 288-8823.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.


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
1103TC0700XPsychologistClinical0810000730VIRGINIAYes

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: 5/5/2024

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