# JANICE B. HAIRSTON, LCSW, LLC

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

## Provider details

- **NPI number:** 1790926020
- **Authorized official:** MS. JANICE BERNADETTE HAIRSTON LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (804) 233-3300

## Contact information

- **Practice address:** 400 TURNER RD, STE 5, RICHMOND, VA 23225-6420
- **Practice address phone:** (804) 233-3300
- **Practice address fax:** (804) 275-0480
- **Mailing address:** 5819 S MELBECK RD, RICHMOND, VA 23234-5279
- **Mailing address phone:** (804) 233-3300
- **Mailing address fax:** (804) 275-0480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904006223 | VA | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 03/17/2009