Villa, Richard A

Villa, Richard A is an sole proprietor health care provider with primary practice located at 7051 Heathcote Village Way Ste 115 , Gainesville VA 20155-3197. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Villa, Richard A can be contacted via phone (804) 207-6737.

Contact Information

Primary practice address
7051 Heathcote Village Way Ste 115 Gainesville VA 20155-3197
Phone: (804) 207-6737
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0701008180 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701008180 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 61633 Texas
Behavioral Health & Social Service Providers / School 101YS0200X 61633 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701008180 Virginia

Profile Details

NPI number 1558679399
LBN Legal business name Villa, Richard A
Credentials LPC, NCC, CSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2010
Last updated Nov 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558679399 NPPES
Virginia MEDICAID 30016567190004

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