PROVIDENCE BEHAVIORAL HEALTH LLC

NPI # 

Practice Address:

15262 Flintlock Ter

Woodbridge, VA, 22191

Practice Phone:

703-950-9202

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X

Updated by NPPES on 10/26/2023. You can view the original data set for NPI # 1265131148 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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PROVIDENCE BEHAVIORAL HEALTH LLC's

CMS CPT® coding data

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PROVIDENCE BEHAVIORAL HEALTH LLC's

CMS prescription data

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