Provider Demographics
NPI:1669540241
Name:CENTER FOR LESS STRESS INC
Entity type:Organization
Organization Name:CENTER FOR LESS STRESS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELITA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURRAY-CARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:804-674-4055
Mailing Address - Street 1:2701 GOODES BRIDGE RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2555
Mailing Address - Country:US
Mailing Address - Phone:804-674-4055
Mailing Address - Fax:804-271-3399
Practice Address - Street 1:2701 GOODES BRIDGE RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2555
Practice Address - Country:US
Practice Address - Phone:804-674-4055
Practice Address - Fax:804-271-3399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002497103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA245365OtherANTHEM
VAC08227Medicare ID - Type Unspecified