TRIPLE WILLOW MENTAL HEALTH CLINIC INC NPI 1023490711

NPI Information

  • NPI: 1023490711
  • Provider Name: TRIPLE WILLOW MENTAL HEALTH CLINIC, INC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Former Legal Business Name: TRIPLE WILLOW MENTAL HEALTH, INC
  • Address: 7300 HANOVER GREEN DR STE 100
    MECHANICSVILLE, VA
    ZIP 23111
  • Phone: (804) 781-4418

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NPI Details

TRIPLE WILLOW MENTAL HEALTH CLINIC, INC is a professional counselor in Mechanicsville, VA. TRIPLE WILLOW MENTAL HEALTH CLINIC, INC NPI is 1023490711. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Triple Willow Mental Health, Inc.

The provider's business location address is:

7300 HANOVER GREEN DR STE 100
MECHANICSVILLE, VA
ZIP 23111-705
Phone: (804) 781-4418
Fax: (804) 212-0981

The provider's authorized official is Kyle Don Mccall .
The authorized official title is President and has the following contact phone number (804) 781-4418.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 11/3/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
4101YP2500XCounselorProfessional0701006887VIRGINIAYes

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: 3/30/2025

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