# INTERCEDING CONSULTANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTERCEDING CONSULTANT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639566789
- **Authorized official:** EDWARD TILLMAN (CEO)
- **Authorized official phone:** (804) 301-6410

## Contact information

- **Practice address:** 5412 GLENSIDE DR STE F, RICHMOND, VA 23228-3995
- **Practice address phone:** (804) 997-7962
- **Practice address fax:** (877) 333-0229
- **Mailing address:** 1140 WILKINSON RD, RICHMOND, VA 23227-1623
- **Mailing address phone:** (804) 997-7962
- **Mailing address fax:** (877) 333-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2015
- **Last updated:** 05/26/2021