Provider Demographics
NPI:1215503974
Name:RITCHIE, OPAL DAWN MARIA (LCSW)
Entity type:Individual
Prefix:
First Name:OPAL
Middle Name:DAWN MARIA
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3121 LOCKPORT PL
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7724
Mailing Address - Country:US
Mailing Address - Phone:313-815-2165
Mailing Address - Fax:
Practice Address - Street 1:1601 ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5011
Practice Address - Country:US
Practice Address - Phone:804-220-1159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health