Provider Demographics
NPI:1669839015
Name:HICKS, RASHA
Entity Type:Individual
Prefix:
First Name:RASHA
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 PLOWFIELD CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-1272
Mailing Address - Country:US
Mailing Address - Phone:804-683-8731
Mailing Address - Fax:804-225-8688
Practice Address - Street 1:3320 PLOWFIELD CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-1272
Practice Address - Country:US
Practice Address - Phone:804-683-8731
Practice Address - Fax:804-225-8688
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91147101YM0800X
VA0701006414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health