Organization
DOMINION OUTPATIENT SERVICES, LLC
Active
Other names
Dominion Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY COWAN (BILLING MANAGER)
(804) 988-7093
Entity
Organization
Contact information
Practice address
8100 THREE CHOPT RD RM 101, RICHMOND, VA 23229-4833
(804) 914-4271
(804) 285-9839
Mailing address
8100 THREE CHOPT RD RM 143, RICHMOND, VA 23229-4833
(804) 914-4271
(804) 285-9839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
0904005557
VA
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/19/2008
Last updated
07/11/2025
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