Organization
DYNASTY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVON KEONTE BURCH B.S. QMHP (CEO)
(804) 426-3405
Entity
Organization
Contact information
Practice address
2807 N PARHAM RD, RICHMOND, VA 23294-4410
(804) 426-3405
Mailing address
2807 N PARHAM RD, RICHMOND, VA 23294-4410
(804) 426-3405
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
11/10/2024
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