Organization
THERAPIST MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYLES EASLEY (PRINCIPAL)
(804) 728-5523
Entity
Organization
Contact information
Practice address
12013 RAVENNA DR, CHESTERFIELD, VA 23838-5128
(804) 728-5523
Mailing address
12013 RAVENNA DR, CHESTERFIELD, VA 23838-5128
(804) 728-5523
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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