| NPI | 1619478641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN R THROCKMORTON Owner/Psychotherapist 804-243-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0994002444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 0994002444) |
| 101YM0800X Counselor, Mental Health (Licence: 0904004418) | |
| 104100000X Social Worker (Licence: VA 0904004418) | |
| 104100000X Social Worker (Licence: VA 0994002444) | |
| 1041C0700X Social Worker, Clinical (Licence: 0904004418) | |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2018-08-14 |