CIVITAS HEALTH SERVICES, INC. (NPI# 1366727984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366727984 |
| Entity Type | Organization |
| Organization Name | CIVITAS HEALTH SERVICES, INC. |
| Practice Address |
5663 S Laburnum Ave Richmond VA 23231-4418 |
| Practice Telephone | 8047373917 |
| Practice Fax Number | 8047373940 |
| Mailing Telephone | 8047373917 |
| Mailing Fax Number | 8047373940 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2016-07-21 |
| Authorized Official Name | MR. LEMAR BOWERS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8047373917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1588 | VA | Agencies |
| Street Address |
5663 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437714227 | Sean Baskerville | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2019-05-07 |
| 1780156521 | Elaine Seltz Miller | Social Worker | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-12-18 |
| 1982174389 | Whitney Evans Gooch | Counselor | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-11-28 |
| 1366918039 | Sonja Ayers | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-10-19 |
| 1881160737 | Tracy Campbell Davis | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-10-18 |
| 1962982918 | William R. Mundie | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-20 |
| 1407336522 | Sabrina Morgan Jordan | Behavioral Analyst | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-17 |
| 1760961593 | Benjamin Franklin Knopp | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-13 |
| 1255810081 | Kimberly Gardner Mcleod | Behavior Technician | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-13 |
| 1942788658 | Krystal Love Everhart | Behavioral Analyst | 5663 S Laburnum Ave, Richmond, VA 23231-4418 | 2018-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| 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 |
|---|---|---|---|---|
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1669085684 | Positive Behavioral Health Consultation Services LLC | Community/Behavioral Health | 1702 Fenton St, Richmond, VA 23231-1602 | 2020-08-28 |
| 1790301166 | Innovative Behavioral Health Solutions LLC | Community/Behavioral Health | 3809 Austin Ave, Richmond, VA 23222-2405 | 2020-06-22 |
| 1306461546 | Golden Royaleagle Corp. | Community/Behavioral Health | 10814 Poolman Pl, Richmond, TX 77407-2817 | 2020-06-13 |
| 1942825286 | Advancing Communities Everywhere,llc | Community/Behavioral Health | 1108 E Main St Ste 1001, Richmond, VA 23219-3535 | 2020-06-12 |
| 1154957272 | Renewed Path Counseling Services LLC | Community/Behavioral Health | 602 Wood St Suite A, Richmond, LA 71282 | 2020-03-20 |
| 1306480223 | Insightbhi | Community/Behavioral Health | 9733 Cherokee Rd, Richmond, VA 23235-1330 | 2019-11-04 |
| 1013551134 | New Hope Wellness, LLC | Community/Behavioral Health | 11 S 12th St # 302, Richmond, VA 23219-4053 | 2019-10-31 |
| 1619527553 | Skye Empowerment Services | Community/Behavioral Health | 11518 Mossmorran Ln, Richmond, TX 77407-2185 | 2019-09-12 |
| Find all providers in RICHMOND | ||||
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| 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.