institution
L R Minor Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Fredericksburg, Virginia
NPI 1508010232

L R Minor Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Fredericksburg, VA and is specialized in Mental Health (Including Community Mental Health Center). L R Minor Llc practices in Fredericksburg, VA. The NPI Number for L R Minor Llc is 1508010232 and holds a License No. 0904002023 (Virginia).

The current practice location address for L R Minor Llc is 910 Princess Anne St, Fredericksburg, VA and can be reached out via phone at 540-656-2106 and via fax at 540-656-2107. You can also correspond with L R Minor Llc through the mailing address at 910 PRINCESS ANNE ST, FREDERICKSBURG, VA - 22401-5844 (mailing address contact number: 540-656-2106).

Location: 910 Princess Anne St, Fredericksburg, VA, 22401-5844
institution
Provider Profile Details
NPI Number
1508010232
Provider Name
L R Minor Llc
Credential
Provider Entity Type
Organization
Address
910 Princess Anne St, Fredericksburg, VA, 22401-5844
Phone Number
540-656-2106
Fax Number
540-656-2107
Provider Enumeration Date
11/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291952 01 VA BLUE CROSS BLUE SHIELD
80000284 01 VA MEDICARE ID-TYPE UNSPECIFIED
089122 01 VA SENTARA-VETRI
512334 01 VA NCPPO
461682000 01 VA MIS
89-1497-4 05 VA
152672 01 VA MHN
4763-0001 01 VA CARE FIRST BCBS
institution
Provider Business Practice Location Address Details
Address
910 Princess Anne St
City
State
Zip
22401-5844
Phone Number
540-656-2106
Fax Number
540-656-2107
person
Provider Business Mailing Address Details
Address
910 Princess Anne St
City
State
Zip
22401-5844
Phone Number
540-656-2106
Fax Number
540-656-2107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
0904002023 (Virginia)
Definition
Definition to come...
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