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Organization

TRIBE HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. FATIMAH JORDAN EXECUTIVE DIRECTOR (EXECUTIVE DIRECTOR)
(804) 738-7423
Entity
Organization

Contact information

Practice address
521 N ADAMS ST STE A, RICHMOND, VA 23220-3903
(804) 738-7423
(804) 738-8383
Mailing address
521 N ADAMS ST STE A, RICHMOND, VA 23220-3903
(804) 738-7423
(804) 738-8383

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
106S00000X
Behavior Technician
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
225XM0800X
Mental Health Occupational Therapist
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
04/05/2024
Last updated
02/06/2026
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