Provider Demographics
| NPI: | 1427120070 |
|---|---|
| Name: | VIRGINIA COUNSELING AND COMMUNITY DEVELOPMENT CORPORATION |
| Entity type: | Organization |
| Organization Name: | VIRGINIA COUNSELING AND COMMUNITY DEVELOPMENT CORPORATION |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | TEVAR |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ARCHER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| 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: | 2025 E MAIN ST STE 15 |
| Practice Address - Street 2: | |
| Practice Address - City: | RICHMOND |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 23223-7069 |
| 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: | 2025-11-13 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 251B00000X | Agencies | Case Management | ||
| No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health | Group - Multi-Specialty |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 251S00000X | Agencies | Community/Behavioral Health | Group - Multi-Specialty | |
| No | 103TP0016X | Behavioral Health & Social Service Providers | Psychologist | Prescribing (Medical) | Group - Multi-Specialty |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
| No | 2084B0040X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Behavioral Neurology & Neuropsychiatry | Group - Multi-Specialty |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
