Broad Rock Counseling And Training Associates | |
2545 Bellwood Road Suite 112 Richmond VA 23237-4481 | |
(804) 275-9980 | |
(804) 275-9981 |
Full Name | Broad Rock Counseling And Training Associates |
---|---|
Speciality | Psychologist - Clinical |
Location | 2545 Bellwood Road, Richmond, Virginia |
Authorized Official Name and Position | Joann M. Thomas-wilson (PSYCHOLOGIST) |
Authorized Official Contact | 8042759980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broad Rock Counseling And Training Associates 2545 Bellwood Road Suite 112 Richmond VA 23237-4481 Ph: (804) 275-9980 | Broad Rock Counseling And Training Associates 2545 Bellwood Road Suite 112 Richmond VA 23237-4481 Ph: (804) 275-9980 |
NPI Number | 1003074493 |
---|---|
Provider Enumeration Date | 06/02/2008 |
Last Update Date | 02/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003074493 | NPI | - | NPPES |
007700890 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810000972 (Virginia) | Primary |
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