Organization
VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC
Active
Organization
VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI VAN CLEAVE PSY.D. (CLINICAL PSYCHOLOGIST - DIRECTOR)
(804) 308-9133
Entity
Organization
Contact information
Practice address
3212 SKIPWITH RD, SUITE 104, RICHMOND, VA 23294-4413
(804) 308-9133
(804) 273-0851
Mailing address
13204 THORNRIDGE LN, MIDLOTHIAN, VA 23112-4836
(804) 308-9133
(804) 273-0851
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003638
VA
103TC0700X
Clinical Psychologist
Primary
2472
CO
103TC0700X
Clinical Psychologist
324
MT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0830003638
VA
261QM0850X
Adult Mental Health Clinic/Center
0810003638
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0810003638
VA
Other
Enumeration date
11/17/2006
Last updated
09/11/2025
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