Professional Mental Health Educational Consultants, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0701003050 Issued in VA

Legal business name

PROFESSIONAL MENTAL HEALTH EDUCATIONAL CONSULTANTS, LLC

Practice address

4222 Bonnie Bank Road
Suite 300
Richmond, VA 23234

Phone

(804) 721-0636

Fax

(804) 541-9162

NPI assigned

Nov 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Faye R Barner, LCSW

Title

President/Ceo

Phone

(804) 721-0636

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1063799260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 AMHERST RIDGE LOOP",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-721-0636",
            "fax_number": "804-541-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 BONNIE BANK ROAD",
            "address_2": "SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23234",
            "telephone_number": "804-721-0636",
            "fax_number": "804-541-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MENTAL HEALTH EDUCATIONAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "BARNER",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-721-0636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0701003050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Frances Proctor, RN
• Melissa Sue Proctor, LCSW
• Professional Choice Staffing
• Professional Emergency Care, PC
• Professional Healthcare Resources of Richmond, Inc.
• Professional Nurses, Inc
• Professional Pharmacy South
• Professional Therapies of Roanoke, Inc.
• Professional Youth Services
• Elizabeth Kate Proffitt, M.D.

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.