Provider Demographics
NPI:1922154186
Name:JOAN GARRABRANT PLLC
Entity Type:Organization
Organization Name:JOAN GARRABRANT PLLC
Other - Org Name:JOAN D. GARRABRANT, L.C.S.W.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SOLE OWNER OF LIMITED LIABILITY COM
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRABRANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:804-358-3797
Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE231
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-358-3797
Mailing Address - Fax:804-358-3797
Practice Address - Street 1:8001 FRANKLIN FARMS DR
Practice Address - Street 2:SUITE231
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5108
Practice Address - Country:US
Practice Address - Phone:804-358-3797
Practice Address - Fax:804-358-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040016051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA249784OtherBLUE CROSS BLUE SHIELD