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VICTORY MOUNTAIN PSYCHOTHERAPY INC NPI 1942698246


NPI Information

NPI: 1942698246
Provider Name: VICTORY MOUNTAIN PSYCHOTHERAPY, INC

Former Legal Business Name: VICTORY CHRISTIAN COUNSELING, INC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
27659 BURGUNDY CROSSING LANE
CANYON COUNTRY, CA
ZIP 91351
Phone: (540) 842-4999
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VICTORY MOUNTAIN PSYCHOTHERAPY, INC is a community behavioral health in Canyon Country, CA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. VICTORY MOUNTAIN PSYCHOTHERAPY, INC NPI is 1942698246. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Victory Christian Counseling, Inc.

The provider's business location address is:

27659 BURGUNDY CROSSING LANE
CANYON COUNTRY, CA
ZIP 91351
Phone: (540) 842-4999
Fax: (540) 371-8428

The provider's authorized official is Jeffrey Sumpolec .
The authorized official title is Ceo/owner and has the following contact phone number (540) 842-4999.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 2/12/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health0701003590VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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