Organization
ANGELA REVERCOMB LPC LLC
Active
Other names
ANGELA REVERCOMB LPC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA REVERCOMB LPC (OWNER/PROVIDER)
(804) 955-8617
Entity
Organization
Contact information
Practice address
3111 NORTHSIDE AVE STE 375, HENRICO, VA 23228-5441
(804) 955-8617
Mailing address
7901 ANOKA RD, RICHMOND, VA 23229-3305
(804) 229-3172
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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