Sudie Summers Althisar, LMFT

Individual provider Active NPI Marriage & Family Therapist · Richmond, VA

NPI 1831734722 · NPPES record last updated Nov 14, 2019

Key facts

NPI
1831734722
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
0717001585 (VA)
Practice address
2000 Bremo Rd Ste 105
Richmond, VA 23226-2440
Phone
(804) 282-8332
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0717001585VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institute of Pastoral Care Inc Marriage & Family Therapist Current
since Nov 17, 2019
Accepting new patients

Locations

2000 Bremo Rd
Ste 105
Richmond, VA 23226
Phone (804) 282-8332

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001585 VA Yes

Addresses

Primary practice location

2000 Bremo Rd Ste 105
Richmond, VA 23226-2440

Mailing address

2000 Bremo Rd Ste 105
Richmond, VA 23226-2440
Phone (804) 282-8332

Other providers in Richmond, VA

All providers in Richmond, VA · Marriage & Family Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.