Organization
INTEGRATIVE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH DAVISON BALDWIN LCSW, RN (SOLE PROPRIETOR)
(804) 754-5814
Entity
Organization
Contact information
Practice address
3520 MAYLAND CT, B, RICHMOND, VA 23233-1421
(804) 754-5814
Mailing address
3520 MAYLAND CT, B, RICHMOND, VA 23233-1421
(804) 754-5814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0904007270
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710217526
TYPE 1 NPI
VA
Enumeration date
06/21/2010
Last updated
12/17/2010
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