Common Health Counseling Group, LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Henrico, VA. Organization (NPI-2).
NPI number1942016365
StatusActive
Last updated in NPPESDec 10, 2024
Details
- NPI
- 1942016365
- Entity type
- Organization (NPI-2)
- Legal business name
- Common Health Counseling Group, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 10, 2024
- Certification date
- Dec 10, 2024
- Last updated
- Dec 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Other names
- Common Health Counseling Group Dd (Doing Business As)
Practice location
10431 Patterson Ave # C-21Henrico, VA 23238-5101
Phone 804-730-1932 · Fax 804-730-1953
Mailing address
10431 Patterson Ave # C-21Henrico, VA 23238-5101
Phone 804-730-1932 · Fax 804-730-1953
Authorized official
Kendrick Kelly
Ceo/Executive Director
8047301932
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