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OTL COMMUNITY SERVICES NPI 1114238375


NPI Information

NPI: 1114238375
Provider Name: OTL COMMUNITY SERVICES

Doing Business As: GOOD NEIGHBOR MENTAL HEALTH SUPPORT, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 49D2149872

Address:
9201 ARBORETUM PKWY STE 300
NORTH CHESTERFIELD, VA
ZIP 23236
Phone: (855) 355-7001
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OTL COMMUNITY SERVICES is a community behavioral health in North Chesterfield, VA. 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. OTL COMMUNITY SERVICES NPI is 1114238375. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Neighbor Mental Health Support, Inc..

The provider's business location address is:

9201 ARBORETUM PKWY STE 300
NORTH CHESTERFIELD, VA
ZIP 23236-407
Phone: (855) 355-7001
Fax: (804) 251-0989

The provider's authorized official is Hailey Mazzei .
The authorized official title is Program Director and has the following contact phone number (804) 520-4600.

The CLIA number assigned to this NPI record is 49D2149872 - other - behavior health outpt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 5/24/2023.


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 Health748-03-002VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1748-03-002OTHERVIRGINIADEPARTMENT OF BEHAVIORAL HEALTH AND DISABILITY SERVICES

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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