Life Construction Mental Health Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

721 Issued in VA

Legal business name

LIFE CONSTRUCTION MENTAL HEALTH SERVICES

Practice address

3105 W Marshall St
Suite 114
Richmond, VA 23230-4729

Phone

(804) 359-3737

Fax

(804) 359-2266

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Eunice Bass Gilchrist, RN, BSN, MS

Title

Executive Director

Phone

(804) 359-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1477563492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W MARSHALL ST",
            "address_2": "SUITE 114",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304729",
            "telephone_number": "804-359-3737",
            "fax_number": "804-359-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W MARSHALL ST",
            "address_2": "SUITE 114",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304729",
            "telephone_number": "804-359-3737",
            "fax_number": "804-359-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CONSTRUCTION MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "BASS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-359-3737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010236878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Richmond, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.