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Prime Psych Va, Llc
Adolescent and Children Mental Health Clinic/Center in North Dinwiddie, Virginia
NPI 1306515812

Prime Psych Va, Llc is an Adolescent and Children Mental Health Clinic/Center based in Colonial Heights, VA and is specialized in Adolescent and Children Mental Health. Prime Psych Va, Llc practices in North Dinwiddie, VA. The NPI Number for Prime Psych Va, Llc is 1306515812 and holds a License No. (Virginia).

The current practice location address for Prime Psych Va, Llc is 7751 Squirrel Level Rd, North Dinwiddie, VA and can be reached out via phone at 804-695-6633 and via fax at 855-978-2324.

Location: 7751 Squirrel Level Rd, North Dinwiddie, VA, 23834-2981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306515812
Provider Name
Prime Psych Va, Llc
Credential
Provider Entity Type
Organization
Address
7751 Squirrel Level Rd, North Dinwiddie, VA, 23834-2981
Phone Number
804-695-6633
Fax Number
855-978-2324
Provider Enumeration Date
09/08/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043738206 01 NPI TYPE 1
0810005750 01 VA VA LCP ID#
institution
Provider Business Practice Location Address Details
Address
7751 Squirrel Level Rd
City
North Dinwiddie
State
Virginia
Zip
23803-7637
Phone Number
804-695-6633
Fax Number
855-978-2324
person
Provider Business Mailing Address Details
Address
7751 Squirrel Level Rd
City
North Dinwiddie
State
Virginia
Zip
23803-7637
Phone Number
804-695-6633
Fax Number
855-978-2324
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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