Organization
RICHARDSON COMMUNITY SERVICES LLC
Active
Other names
RICHARDSON COMMUNITY SERVICESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAQUETTA D RICHARDSON QMHP (OWNER)
(804) 688-9115
Entity
Organization
Contact information
Practice address
2409 INGRAM AVE, RICHMOND, VA 23224-6713
(804) 688-9115
Mailing address
2409 INGRAM AVE, RICHMOND, VA 23224-6713
(804) 688-9115
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/21/2025
Last updated
12/28/2025
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