Organization
RICHARDSON COMMUNITY SERVICES LLC
Active
Organization
RICHARDSON COMMUNITY SERVICES LLC
Active
Other names
RICHARDSON COMMUNITY SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAQUETTA D RICHARDSON QMHP (CEO)
(804) 688-9115
Entity
Organization
Contact information
Practice address
2409 INGRAM AVE, RICHMOND, VA 23224-6713
(804) 688-9115
Mailing address
2409 INGRAM AVE, RICHMOND, VA 23224-6713
(804) 688-9115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/09/2025
Last updated
06/16/2025
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