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Organization
GREATER RICHMOND SCAN CAC
Active
Organization
GREATER RICHMOND SCAN CAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M WRIGHT M.S.W., L.C.S.W. (CAC MENTAL HEALTH COORDINATOR)
(804) 643-7226
Entity
Organization
Contact information
Practice address
1001 E BROAD ST, LL40, RICHMOND, VA 23219-1928
(804) 643-7226
(804) 643-3529
Mailing address
1001 E BROAD ST, LL40, RICHMOND, VA 23219-1928
(804) 643-7226
(804) 643-3529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904003199
VA
101YM0800X
Mental Health Counselor
Primary
0904005880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010124735
—
VA
05
—
010269083
—
VA
01
—
0904005565
AMY THOMAS-HARMON LCSW
VA
01
—
0904006450
MELISSA MCGINN, LCSW
VA
Enumeration date
11/14/2006
Last updated
11/09/2007
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