Doctor Name: | TINA MOTLEY |
NPI Number: | 1073848784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904007230 |
Business Practice Address: | 9355 Kempton Manor Ct Unit 1711 Glen Allen, VA - 230603884 |
Business Phone Number: | 8042397688 |
Business Fax Number: | |
Mailing Address: | 9355 Kempton Manor Ct Unit 1711, GLEN ALLEN |
State: | VA |
Postal Code: | 230603884 |
Phone Number: | 8042397688 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2009 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904007230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |