Organization
COMMUNITY INTERVENTION ASSOICATES, LLC
Active
Other names
MindSet
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA R LOVE (MANAGING PARTNER)
(804) 303-5472
Entity
Organization
Contact information
Practice address
4906 CUTSHAW AVE STE 201, RICHMOND, VA 23230-3630
(804) 303-5472
Mailing address
4906 CUTSHAW AVE STE 201, RICHMOND, VA 23230-3630
(804) 303-5472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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