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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