Provider Demographics
NPI:1710360169
Name:GEROPARTNERS LLC
Entity Type:Organization
Organization Name:GEROPARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:HECK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:855-998-4376
Mailing Address - Street 1:PO BOX 1764
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-1764
Mailing Address - Country:US
Mailing Address - Phone:855-998-4376
Mailing Address - Fax:855-998-4376
Practice Address - Street 1:7800 SHADY BANKS TER
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-2501
Practice Address - Country:US
Practice Address - Phone:855-998-4376
Practice Address - Fax:855-998-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002923251S00000X
VA0904006775251S00000X
VA0810003933251S00000X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7712260Medicaid
VA7712260Medicaid