Individual provider · Type 1 NPI

Tameca Rashaun Richardson, QMHP, CSAC-A, PMP

Community/Behavioral Health Agency · South Boston, VA

NPI number 1699282103 Active

Practice location

606 Broad St
South Boston, VA 24592-3200

Fax (434) 608-0504

Mailing address

196 Simmons Lake Dr
Gibsonville, NC 27249-8942

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0711000387 (VA)
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…

Another provider at this address

About NPI 1699282103

Tameca Rashaun Richardson, QMHP, CSAC-A, PMP's National Provider Identifier is 1699282103, issued on Jan 5, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in South Boston, VA. The record was last updated on Aug 1, 2025.