Otl Outpatient Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OTL OUTPATIENT SERVICES LLC

Practice address

9201 Arboretum Pkwy Ste 300
North Chesterfield, VA 23236-5407

Phone

(804) 520-4600

Fax

(833) 525-0063

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Mark Richardson

Title

Ceo

Phone

(804) 520-4600

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1720894074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "804-520-4600",
            "fax_number": "833-525-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 ARBORETUM PKWY STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365407",
            "telephone_number": "804-520-4600",
            "fax_number": "833-525-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTL OUTPATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-520-4600"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisha Lanay Otero, LPC
• Marva Celestine Otey
• Otl Community Services
• Otl Community Services
• Otl Community Services
• Tori Donna Ottaviano, PT, DPT
• Trevor Dale Ottofaro, MD
• Outreach Counseling Services Inc
• Outreach Residential Services, Inc.
• Zacharia Overby, DPT

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.