Absolute Mental Health Clinic Llc

LBN: Absolute Mental Health Clinic Llc
Absolute Mental Health Clinic Llc is an health care organization with primary practice located at 1303 Florida Ave , Woodbridge VA 22191-3620. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Absolute Mental Health Clinic Llc can be contacted via phone (571) 398-2758, or through De La Cruz, Maximo via phone (571) 572-0050.

Contact Information

Primary practice address
1303 Florida Ave Woodbridge VA 22191-3620
Phone: (571) 398-2758
Fax:
Website:
Map and Directions
Authorized official contact:
Name: De La Cruz, Maximo BA-QMHP-C-MA
Phone: (571) 572-0050

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1366007460
LBN Legal business name Absolute Mental Health Clinic Llc
DBA Doing business as
Authorized official De La Cruz, Maximo BA-QMHP-C-MA
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2019
Last updated Jun 16th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366007460 NPPES
Virginia Other 201509030074274 CERTIFICATE OF ASSUMED OR FICTITIOUS NAME

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