Organization
TANYA S. ROBERTSON LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA S. ROBERTSON LCSW (OWNER)
(804) 218-6316
Entity
Organization
Contact information
Practice address
5516 FALMOUTH ST, VISTAS II, SUITE 102, RICHMOND, VA 23230-1819
(804) 218-6316
(804) 282-0012
Mailing address
5516 FALMOUTH ST, VISTAS II, SUITE 102, RICHMOND, VA 23230-1819
(804) 218-6316
(804) 282-0012
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0904006220
VA
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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