# MATTHEWS COUNSELING & SUPERVISION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry M Matthews Jr
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407542475
- **Authorized official:** TAWANA TAYLOR (ACCOUNT MANAGER)
- **Authorized official phone:** (804) 250-8203

## Contact information

- **Practice address:** 5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
- **Practice address phone:** (804) 264-0966
- **Practice address fax:** (804) 264-1029
- **Mailing address:** 5821 STAPLES MILL RD, RICHMOND, VA 23228-5427
- **Mailing address phone:** (804) 264-0966
- **Mailing address fax:** (804) 264-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 09/12/2023