Organization
MEMORIAL-CHILD-GUIDANCE-CLINIC
Active
Other names
Childsavers of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK N/A HEIRHOLZER N/A (EXECUTIVE DIRECTOR)
(804) 644-0590
Entity
Organization
Contact information
Practice address
200 NORTH 22ND STREET, N/A, RICHMOND, VA 23223
(804) 644-9590
(804) 649-2151
Mailing address
200 NORTH 22ND STREET, N/A, RICHMOND, VA 23223
(804) 644-9590
(804) 649-2151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
065
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945182
—
VA
Enumeration date
10/02/2006
Last updated
08/22/2020
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