IndividualActive
Tameca Richardson, QMHP, CSAC-A, PMP
NPI 1699282103 · Community/Behavioral Health Agency · South Boston, VA
Provider details
- NPI number
- 1699282103
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Credential
- QMHP, CSAC-A, PMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0711000387 (VA)
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
606 Broad St
South Boston, VA 24592-3200
Phone: (434) 265-5004
Fax: (434) 608-0504
Street-level locationGet directions
Mailing address
196 Simmons Lake Dr
Gibsonville, NC 27249-8942
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.