Organization
COMMON HEALTH COUNSELING GROUP, LLC
Active
Parent organization
COMMON HEALTH COUNSELING GROUP, LLC
Other names
Common Health Counseling Group DD
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMON HEALTH COUNSELING GROUP, LLC
Authorized official
MR. KENDRICK KELLY (CEO/EXECUTIVE DIRECTOR)
(804) 730-1932
Entity
Organization
Contact information
Practice address
10431 PATTERSON AVE # C-21, HENRICO, VA 23238-5101
(804) 730-1932
(804) 730-1953
Mailing address
10431 PATTERSON AVE # C-21, HENRICO, VA 23238-5101
(804) 730-1932
(804) 730-1953
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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