Prosperity Behavioral Healthcare, Pllc

LBN: Prosperity Behavioral Healthcare, Pllc
Prosperity Behavioral Healthcare, Pllc is an health care organization with primary practice located at 11912 Hayes Station Way , Manassas VA 20109-4845. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Prosperity Behavioral Healthcare, Pllc can be contacted via phone (323) 420-8787, or through Tylor, Stacy via phone (323) 420-8787.

Contact Information

Primary practice address
11912 Hayes Station Way Manassas VA 20109-4845
Phone: (323) 420-8787
Fax: (443) 331-4441
Website:
Map and Directions
Authorized official contact:
Name: Tylor, Stacy PSYD
Phone: (323) 420-8787

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1679234744
LBN Legal business name Prosperity Behavioral Healthcare, Pllc
DBA Doing business as
Authorized official Tylor, Stacy PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2021
Last updated Dec 31st, 2021 - about 3 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 1679234744 NPPES
Maryland Other 1992015887 NPI

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