Provider Demographics
NPI:1144115205
Name:GALVANI, ADRIENNE ANITRA
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:ANITRA
Last Name:GALVANI
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11831 N ENON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23836-2864
Mailing Address - Country:US
Mailing Address - Phone:347-996-2352
Mailing Address - Fax:
Practice Address - Street 1:11831 N ENON CHURCH RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2864
Practice Address - Country:US
Practice Address - Phone:347-996-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No251B00000XAgenciesCase Management
No174H00000XOther Service ProvidersHealth Educator
No251S00000XAgenciesCommunity/Behavioral Health