Provider Demographics
NPI:1275140626
Name:SAVOY WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:SAVOY WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:INDRIA
Authorized Official - Middle Name:VIOLENE
Authorized Official - Last Name:SAVOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMHP
Authorized Official - Phone:301-655-2291
Mailing Address - Street 1:3126 W CARY ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3504
Mailing Address - Country:US
Mailing Address - Phone:301-655-2291
Mailing Address - Fax:
Practice Address - Street 1:1209 N 32ND ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-6711
Practice Address - Country:US
Practice Address - Phone:301-655-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health