Individual
MR. COREY ASHTON TOLLIVER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHP-S
Contact information
Practice address
7000 HOLRIDGE CT, CHESTERFIELD, VA 23832
(804) 314-8785
Mailing address
7000 HOLRIDGE CT, CHESTERFIELD, VA 23832-8441
(804) 314-8785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904017215
VA
1041C0700X
Clinical Social Worker
115006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-2842697
—
VA
Enumeration date
01/31/2023
Last updated
01/07/2026
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