Provider Demographics
NPI:1518570043
Name:IPSYCHS
Entity Type:Organization
Organization Name:IPSYCHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWLS-DOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:888-779-2470
Mailing Address - Street 1:PO BOX 3874
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-8471
Mailing Address - Country:US
Mailing Address - Phone:914-469-9780
Mailing Address - Fax:
Practice Address - Street 1:9020 STONY POINT PKWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1947
Practice Address - Country:US
Practice Address - Phone:888-774-2470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty