| Whoa Behavioral Health | |
|
6010 West Broad St. Suite 103 Richmond VA 23230 | |
| (804) 282-1863 | |
| (804) 282-1695 |
| Full Name | Whoa Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6010 West Broad St., Richmond, Virginia |
| Authorized Official Name and Position | Kristi D. Jackson (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 8043063219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whoa Behavioral Health 6010 West Broad St. Suite 103 Richmond VA 23230 Ph: (804) 282-1863 | Whoa Behavioral Health 6010 West Broad St. Suite 103 Richmond VA 23230 Ph: (804) 282-1863 |
| NPI Number | 1497148480 |
|---|---|
| Provider Enumeration Date | 03/14/2015 |
| Last Update Date | 05/17/2018 |
| Medicare PECOS PAC ID | 1850790957 |
|---|---|
| Medicare Enrollment ID | O20210521001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497148480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Cynthia C Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104042555 PECOS PAC ID: 5395830657 Enrollment ID: I20071001000826 |
| Provider Name | Faith B Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821469172 PECOS PAC ID: 1759677982 Enrollment ID: I20160914000766 |
| Provider Name | Sarah Hemmann Mclillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902277452 PECOS PAC ID: 6103108063 Enrollment ID: I20170130000650 |
| Provider Name | Alvaro Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487106076 PECOS PAC ID: 9739458845 Enrollment ID: I20170705003187 |
| Provider Name | Gerlene Sherard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649722505 PECOS PAC ID: 6901176130 Enrollment ID: I20170721000270 |
| Provider Name | Eric H Mansfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699365759 PECOS PAC ID: 4981006434 Enrollment ID: I20210707001759 |
| Provider Name | Joy Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255784435 PECOS PAC ID: 0244648442 Enrollment ID: I20220517000724 |
| Provider Name | Tomilola Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447948930 PECOS PAC ID: 9537526314 Enrollment ID: I20230609001585 |
| Provider Name | Brittany Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518651496 PECOS PAC ID: 4082068911 Enrollment ID: I20230927000834 |
| Provider Name | Melissa Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336837210 PECOS PAC ID: 2264888304 Enrollment ID: I20231026001882 |
| Provider Name | Michelle Kyles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063174480 PECOS PAC ID: 3678925526 Enrollment ID: I20240117000754 |
| Provider Name | Thomas R Wilkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396104634 PECOS PAC ID: 9032561899 Enrollment ID: I20240117001438 |
| Provider Name | Darla Renshaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467047845 PECOS PAC ID: 8325490196 Enrollment ID: I20240117001758 |
| Provider Name | Stephanie Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992380679 PECOS PAC ID: 1759733553 Enrollment ID: I20240117002544 |
| Provider Name | Diehdre Gregory-holberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154001600 PECOS PAC ID: 2567814379 Enrollment ID: I20240117002900 |
| Provider Name | Mason Watkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194255976 PECOS PAC ID: 0446602262 Enrollment ID: I20240117003356 |
| Provider Name | Mary Catherine Jessee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396488300 PECOS PAC ID: 3274986211 Enrollment ID: I20240126000372 |
| Provider Name | Lilyana Sintayehu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174243729 PECOS PAC ID: 6204289697 Enrollment ID: I20240201002766 |
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