Grove Avenue Professional Associates, Inc. in Richmond - Clinical
Grove Avenue Professional Associates, Inc. - NPI 1215143789
Grove Avenue Professional Associates, Inc. is a Clinical in Richmond, Virginia. Grove Avenue Professional Associates, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Grove Avenue Professional Associates, Inc. is 1215143789. The last update date is 2020-08-22.
Grove Avenue Professional Associates, Inc.'s current location address is 505 Libbie Ave, Richmond, Virginia. You can contact this provider via phone number 8042888823. The mailing address for Grove Avenue Professional Associates, Inc. is 505 Libbie Ave, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grove Avenue Professional Associates, Inc. |
|---|---|
| Address | 505 Libbie Ave, Richmond, Virginia |
| Phone Number | 8042888823 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Montgomery Ellis Leslie |
| Credentials | PH.D. |
| Telephone Number | 8042888823 |
NPI Number Detail
| NPI Number | 1215143789 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 505 Libbie Ave |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232262617 |
| Phone Number | 8042888823 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810000730 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Grove Avenue Professional Associates, Inc. by the Centers for Medicare & Medicaid Services?
The Grove Avenue Professional Associates, Inc. has been issued the NPI (National Provider Identifier) 1215143789 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Grove Avenue Professional Associates, Inc.?
The Grove Avenue Professional Associates, Inc. is situated at 505 Libbie Ave, in the city of Richmond, state of VA, with the zip code 232262617.
What is Grove Avenue Professional Associates, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Grove Avenue Professional Associates, Inc.'s area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1215143789 assigned to Grove Avenue Professional Associates, Inc.?
The Grove Avenue Professional Associates, Inc. was issued its 1215143789 on 2007-05-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Grove Avenue Professional Associates, Inc. last refreshed?
The information related to the Grove Avenue Professional Associates, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.