OrganizationActive
Community Intervention Group, LLC
NPI 1740858836 · Counseling Psychologist · Colonial Heights, VA
Provider details
- NPI number
- 1740858836
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lakeisha Branch, Director(804) 715-7022
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
205a Temple Ave
Colonial Heights, VA 23834-2827
Phone: (804) 715-7022
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Fox Hunt Trl
South Chesterfield, VA 23803-2284
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.