Organization
CENTRAL VIRGINIA BEHAVIORAL HEALTH LLC
Active
Other names
Central Virginia Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. C NICOLE SIMMONS-JACKSON MSW (CAO)
(804) 263-6403
Entity
Organization
Contact information
Practice address
1213 N 24TH ST, RICHMOND, VA 23223-5232
(804) 263-6403
Mailing address
1213 N 24TH ST, RICHMOND, VA 23223-5232
(804) 263-6403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001731
VA
101YP2500X
Professional Counselor
001731
VA
104100000X
Social Worker
001731
VA
1041C0700X
Clinical Social Worker
001731
VA
106H00000X
Marriage & Family Therapist
001731
VA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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