Memorial Child Guidance Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

065-07-004 Issued in VA

Legal business name

MEMORIAL CHILD GUIDANCE CLINIC

Practice address

200 N 22ND St
Richmond, VA 23223-7020

Phone

(804) 644-9590

Fax

(804) 649-2151

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mark Hierholzer

Title

Executive Director

Phone

(804) 644-9590

Specialties & licenses 1

Addresses

Other names 1

• ChildSavers Doing business as

Tax ID family

Childsavers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Memorial-Child-Guidance-Clinic

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1699868448
  NPD tax ID

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861604134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 22ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 22ND ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237020",
            "telephone_number": "804-644-9590",
            "fax_number": "804-649-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CHILD GUIDANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIERHOLZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-644-9590"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "065-07-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChildSavers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shamika Melton
• Zuri Alexis Carloshia Melvin, LCSW
• Eric Perry Melzig, MD
• Krystal Marie Memmer, PHARMD
• Lucy Ann Memmo, M.ED.
• Memorial-Child-Guidance-Clinic
• Men of Tomorrow Inc
• Mended Wings, LLC
• Amy Mendel
• Gerardo Joaquin Angel Mendez-Picon, MD

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.