| 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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