Organization
ALCHEMY PLLC
Active
Other names
Alchemy Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON RANDALL FREDERICK MD (MEDICAL DIRECTOR)
(804) 690-2419
Entity
Organization
Contact information
Practice address
8639 MAYLAND DR STE 102, HENRICO, VA 23294-4752
(804) 993-3039
(804) 447-1953
Mailing address
8639 MAYLAND DR STE 102, HENRICO, VA 23294-4752
(804) 993-3039
(804) 447-1953
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
02/06/2020
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