Provider Demographics
NPI:1144786815
Name:RICHMOND THERAPEUTIC HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:RICHMOND THERAPEUTIC HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, QMHP-A, QMHP-C
Authorized Official - Phone:804-908-4879
Mailing Address - Street 1:5001 LIBBIE MILL EAST BLVD APT 268
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2134
Mailing Address - Country:US
Mailing Address - Phone:804-908-4879
Mailing Address - Fax:804-781-9501
Practice Address - Street 1:326 OBRIEN RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-2654
Practice Address - Country:US
Practice Address - Phone:804-908-4879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health