Interceding Consultant

LBN: Interceding Consultant Llc
Interceding Consultant is an health care organization with primary practice located at 5412 Glenside Dr Ste F , Richmond VA 23228-3995. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Interceding Consultant Llc can be contacted via phone (804) 997-7962, or through Tillman, Edward via phone (804) 301-6410.

Contact Information

Primary practice address
5412 Glenside Dr Ste F Richmond VA 23228-3995
Phone: (804) 997-7962
Fax: (877) 333-0229
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Edward
Phone: (804) 301-6410

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1639566789
LBN Legal business name Interceding Consultant Llc
DBA Doing business as Interceding Consultant
Authorized official Tillman, Edward
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2015
Last updated May 26th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639566789 NPPES
Virginia MEDICAID 1639566789
Virginia MEDICAID 1639566787

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