# DOMINION OUTPATIENT SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dominion Outpatient Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790932911
- **Authorized official:** EBONY COWAN (BILLING MANAGER)
- **Authorized official phone:** (804) 988-7093

## Contact information

- **Practice address:** 8100 THREE CHOPT RD RM 101, RICHMOND, VA 23229-4833
- **Practice address phone:** (804) 914-4271
- **Practice address fax:** (804) 285-9839
- **Mailing address:** 8100 THREE CHOPT RD RM 143, RICHMOND, VA 23229-4833
- **Mailing address phone:** (804) 914-4271
- **Mailing address fax:** (804) 285-9839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | 0904005557 | VA | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 07/11/2025