Organization
IPSYCHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOLIN (VICE PRESIDENT)
(888) 779-2470
Entity
Organization
Contact information
Practice address
2400 OLD BRICK RD STE 138, GLEN ALLEN, VA 23060
(888) 779-2470
Mailing address
1920 DRESDEN DR NE UNIT 190025, BROOKHEVEN, GA 30319
(888) 779-2470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/09/2025
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