ANGELA REVERCOMB LPC LLC NPI 1386405645

NPI Information

NPI: 1386405645
Provider Name: ANGELA REVERCOMB LPC LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3111 NORTHSIDE AVE STE 375
HENRICO, VA
ZIP 23228
Phone: (804) 955-8617
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ANGELA REVERCOMB LPC LLC is a professional counselor in Henrico, VA. ANGELA REVERCOMB LPC LLC NPI is 1386405645. The provider is registered as an organization entity type.

The provider's business location address is:

3111 NORTHSIDE AVE STE 375
HENRICO, VA
ZIP 23228-441
Phone: (804) 955-8617

The provider's authorized official is Angela Revercomb .
The authorized official title is Owner/provider and has the following contact phone number (804) 955-8617.

The enumeration date for this NPI number is 1/23/2024 and was last updated on 1/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			No
2	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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