# VIRGINIA PROFESSIONAL HEARING HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144519885
- **Authorized official:** SHANTELL D LEWIS (OWNER)
- **Authorized official phone:** (804) 330-1350

## Contact information

- **Practice address:** 620 MOOREFIELD PARK DR, SUITE 100, RICHMOND, VA 23236
- **Practice address phone:** (804) 330-1350
- **Mailing address:** 620 MOOREFIELD PARK DR, SUITE 100, RICHMOND, VA 23236-3692
- **Mailing address phone:** (804) 330-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2011
- **Last updated:** 04/04/2011