institution
Providence Behavioral Health Llc
Psychiatric/Mental Health Nurse Practitioner in Woodbridge, Virginia
NPI 1265131148

Providence Behavioral Health Llc is a Psychiatric/Mental Health Nurse Practitioner based in Dumfries, VA and is specialized in Psychiatric/Mental Health. Providence Behavioral Health Llc practices in Woodbridge, VA. The NPI Number for Providence Behavioral Health Llc is 1265131148 and holds a License No. (Virginia).

The current practice location address for Providence Behavioral Health Llc is 15262 Flintlock Ter, Woodbridge, VA and can be reached out via phone at 703-950-9202.

Location: 15262 Flintlock Ter, Woodbridge, VA, 22025-1515
institution
Provider Profile Details
NPI Number
1265131148
Provider Name
Providence Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
15262 Flintlock Ter, Woodbridge, VA, 22025-1515
Phone Number
703-950-9202
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
15262 Flintlock Ter
City
State
Zip
22191
Phone Number
703-950-9202
Fax Number
person
Provider Business Mailing Address Details
Address
15262 Flintlock Ter
City
State
Zip
22191
Phone Number
703-950-9202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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