Organization
MENTAL HEALTH EXPREINCE SUPPORTIVE SERVIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BOWMAN (CEO)
(804) 385-9679
Entity
Organization
Contact information
Practice address
2025 E MAIN ST STE 120, RICHMOND, VA 23223-7072
(804) 308-9989
Mailing address
2025 E MAIN ST STE 120, RICHMOND, VA 23223-7072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
151703001
VA
Other
Enumeration date
04/30/2014
Last updated
05/18/2022
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