Individual
MRS. BELLE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Mailing address
11013 WEST BROAD STREET, SUITE 100, RICHMOND, VA 23060
(800) 424-4046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004795
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945255
—
VA
Enumeration date
03/22/2010
Last updated
11/14/2017
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