person
Mrs. Theresa Shields Zody, LCSW
Addiction (Substance Use Disorder) Counselor in Richmond, Virginia
NPI 1033250139

Theresa Shields Zody is an Addiction (Substance Use Disorder) Counselor based in Richmond, VA and is specialized in Addiction (Substance Use Disorder). Theresa Shields Zody practices in Richmond, VA and has the professional credentials of LCSW. The NPI Number for Theresa Shields Zody is 1033250139 and holds a License No. 0904002711 (Virginia).

The current practice location address for Theresa Shields Zody is 6002 W Broad St, Richmond, VA and can be reached out via phone at 804-257-5488.

Location: 6002 W Broad St, Richmond, VA, 23230-2213
person
Provider Profile Details
NPI Number
1033250139
Provider Name
Theresa Shields Zody
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
6002 W Broad St, Richmond, VA, 23230-2213
Phone Number
804-257-5488
Fax Number
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231190 01 VA BCBS ID
institution
Provider Business Practice Location Address Details
Address
6002 W Broad St
City
State
Zip
23230-2213
Phone Number
804-257-5488
Fax Number
person
Provider Business Mailing Address Details
Address
6002 W Broad St
City
State
Zip
23230-2213
Phone Number
804-257-5488
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0904002711 (Virginia)
Definition
Definition to come...
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