The DLB Foundation, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE DLB FOUNDATION, LLC

Practice address

5854 Walmsley Blvd
Richmond, VA 23224-5812

Phone

(804) 615-4542

Fax

(804) 272-1903

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Thomas

Title

Owner

Phone

(804) 615-4542

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1194486688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5854 WALMSLEY BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232245812",
            "telephone_number": "804-615-4542",
            "fax_number": "804-272-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5854 WALMSLEY BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232245812",
            "telephone_number": "804-615-4542",
            "fax_number": "804-272-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DLB FOUNDATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-615-4542"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dlbfoundation2019@gmail.com",
            "affiliation": "N",
            "endpointDescription": "company email address",
            "address_1": "5854 Walmsley Blvd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232245812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.