1215388350 NPI number — HANDS OF UNITY MENTAL HEALTH SKILL BUILDING

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215388350 NPI number — HANDS OF UNITY MENTAL HEALTH SKILL BUILDING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDS OF UNITY MENTAL HEALTH SKILL BUILDING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215388350
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 14069
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23225-8987
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-874-4286
Provider Business Mailing Address Fax Number:
804-958-7742

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 E FRANKLIN ST
Provider Second Line Business Practice Location Address:
SUITE 528
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23219-2322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-501-4420
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
TOWANDA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PROGRAM DIRECTOR
Authorized Official Telephone Number:
804-972-7238

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  868-03-001 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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