Provider Demographics
NPI:1629649868
Name:TALK WORK HEAL PROFESSIONAL SERVICES LLC
Entity Type:Organization
Organization Name:TALK WORK HEAL PROFESSIONAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD-DOBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-937-1164
Mailing Address - Street 1:6808 CLIFFORD TOWER WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-7203
Mailing Address - Country:US
Mailing Address - Phone:804-937-1164
Mailing Address - Fax:
Practice Address - Street 1:110 N ROBINSON ST STE 300
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4461
Practice Address - Country:US
Practice Address - Phone:804-937-1164
Practice Address - Fax:804-507-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA84-284-7849Medicaid