Organization
TELETHRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HUDSON (OWNER)
(804) 441-3647
Entity
Organization
Contact information
Practice address
15871 CITY VIEW DR STE 202, MIDLOTHIAN, VA 23113-7304
(804) 464-5724
Mailing address
PO BOX 1330, CHESTERFIELD, VA 23832-9103
(804) 441-3647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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