THERAPEUTIC LEARNING CONSORTIUM LLC (NPI# 1114489317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114489317 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC LEARNING CONSORTIUM LLC |
| Practice Address |
8154 Forest Hill Ave Ste 2 North Chesterfield VA 23235 |
| Mailing Address |
8154 Forest Hill Ave Ste 2 North Chesterfield VA 23235-3255 |
| Practice Telephone | 8042343350 |
| Practice Fax Number | 8045331459 |
| Mailing Telephone | 8042343350 |
| Mailing Fax Number | 8045331459 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | TREVIN COLCLOUGH (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8037958604 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 Boulder Springs Dr Apt C3, North Chesterfield, VA 232255543 | 8037958604 |
| Street Address |
8154 FOREST HILL AVE STE 2 |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| 1760936918 | Hollie Miles | Counselor | 1905 Huguenot Rd Ste 303c, North Chesterfield, VA 23235 | 2016-08-04 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675497 | Capital City Shining Stars | Community/Behavioral Health | 8014 Midlothian Tpke Ste 308, North Chesterfield, VA 23235-5291 | 2020-03-26 |
| 1346876661 | Find Your Balance Psychotherapy, LLC | Community/Behavioral Health | 7410 Hull Street Rd Ste 102, North Chesterfield, VA 23235-5834 | 2020-03-18 |
| 1689215436 | One Path One Purpose, LLC | Community/Behavioral Health | 1909 Huguenot Rd Ste 305, North Chesterfield, VA 23235-4314 | 2019-10-02 |
| 1508412651 | Integrity Behavioral Health Services, LLC | Community/Behavioral Health | 4532 Fordham Rd, North Chesterfield, VA 23236-1122 | 2019-08-14 |
| 1972165157 | Hairston & Associates Therapeutic and Community Treatment Services | Community/Behavioral Health | 1905 Huguenot Rd Ste 308, North Chesterfield, VA 23235-4312 | 2019-07-08 |
| 1306402367 | 5 Star Counseling, LLC | Community/Behavioral Health | 4012 Hawkbill Ct, North Chesterfield, VA 23237-4336 | 2019-05-15 |
| 1154984227 | Specialized Solutions Family Services | Community/Behavioral Health | 4121 Meadowdale Blvd Ste C, North Chesterfield, VA 23234-5500 | 2019-04-15 |
| 1609340876 | Wellness Integrative Supportive Resources, LLC | Community/Behavioral Health | 8022 Clovertree Ct, North Chesterfield, VA 23235-5382 | 2019-01-21 |
| 1558841445 | Home Is Where The Heart Is Crisis Stabilization | Community/Behavioral Health | 7400 Beaufont Springs Dr Ste 306, North Chesterfield, VA 23225-5519 | 2018-08-20 |
| 1811483852 | Trinity Youth & Family Services, LLC | Community/Behavioral Health | 7325 Silver Mist Ave, North Chesterfield, VA 23237-1951 | 2018-07-02 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
Please comment or provide details below to improve the information on THERAPEUTIC LEARNING CONSORTIUM LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.