Provider Demographics
NPI:1215798293
Name:RICHMOND CENTER FOR COGNITIVE BEHAVIORAL THERAPY
Entity type:Organization
Organization Name:RICHMOND CENTER FOR COGNITIVE BEHAVIORAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:434-509-1599
Mailing Address - Street 1:3 BOARS HEAD LN STE C6
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4604
Mailing Address - Country:US
Mailing Address - Phone:434-509-1599
Mailing Address - Fax:
Practice Address - Street 1:3 BOARS HEAD LN STE C6
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4604
Practice Address - Country:US
Practice Address - Phone:434-509-1599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty