Provider Demographics
NPI:1720878291
Name:OWENS-ARDOIN, VICTORIA ARLENE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ARLENE
Last Name:OWENS-ARDOIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34610
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-0610
Mailing Address - Country:US
Mailing Address - Phone:804-562-7461
Mailing Address - Fax:804-562-7462
Practice Address - Street 1:3800 MEADOWDALE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-5750
Practice Address - Country:US
Practice Address - Phone:804-562-7461
Practice Address - Fax:804-562-7462
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09060153251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty