Provider Demographics
NPI:1427120070
Name:VIRGINIA COUNSELING AND COMMUNITY DEVELOPMENT
Entity type:Organization
Organization Name:VIRGINIA COUNSELING AND COMMUNITY DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TEVAR
Authorized Official - Middle Name:MARKEL
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:804-218-8182
Mailing Address - Street 1:3506 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-8004
Mailing Address - Country:US
Mailing Address - Phone:804-218-8182
Mailing Address - Fax:480-287-8222
Practice Address - Street 1:3506 E BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-8004
Practice Address - Country:US
Practice Address - Phone:804-218-8182
Practice Address - Fax:480-287-8222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty