Providence Behavioral Health Llc

LBN: Providence Behavioral Health Llc
Providence Behavioral Health Llc is an health care organization with primary practice located at 15262 Flintlock Ter , Woodbridge VA 22191. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Providence Behavioral Health Llc can be contacted via phone (703) 950-9202, or through Eze, Mariah via phone (703) 950-9202.

Contact Information

Primary practice address
15262 Flintlock Ter Woodbridge VA 22191
Phone: (703) 950-9202
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eze, Mariah
Phone: (703) 950-9202

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1265131148
LBN Legal business name Providence Behavioral Health Llc
DBA Doing business as
Authorized official Eze, Mariah
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2023
Last updated Oct 26th, 2023 - about last year

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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