Village Therapeutic Mentoring Services LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

VILLAGE THERAPEUTIC MENTORING SERVICES LLC

Practice address

1 W Cary St
Richmond, VA 23220-5609

Phone

(804) 647-0482

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Cherodnicker Brown, MA, MBA

Title

Program Director

Phone

(804) 519-4448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1912468190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205609",
            "telephone_number": "804-647-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CARY ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232205609",
            "telephone_number": "804-647-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE THERAPEUTIC MENTORING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHERODNICKER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-519-4448",
        "authorized_official_credential": "MA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah W Villacarillo, MS, OTR/L
• Katherine Gail Villacorta
• Elizabeth Villafane-Sparks, NP
• Village Against Violence
• Village Family Psychiatry, PLLC
• Juan F Villalona, M.D.
• Sara L Villalona, PA
• Sydney Karinna Villeneuve, M.S., LPC
• David Vincelette, OTR/L
• Anna K Vinnikova, M.D.

• Adolescent and Children Mental Health Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Adolescent and Children Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.