Provider Demographics
NPI:1205329919
Name:WHITEHEAD-URQUHART, JAYMES ELIZABETH
Entity type:Individual
Prefix:
First Name:JAYMES
Middle Name:ELIZABETH
Last Name:WHITEHEAD-URQUHART
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 1:613 ROBCURN DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-2641
Mailing Address - Country:US
Mailing Address - Phone:804-837-7949
Mailing Address - Fax:
Practice Address - Street 1:4319 OLD BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-3804
Practice Address - Country:US
Practice Address - Phone:804-780-8288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool