PROVIDENCE BEHAVIORAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Woodbridge, VA. PROVIDENCE BEHAVIORAL HEALTH LLC NPI is 1265131148. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
15262 FLINTLOCK TER WOODBRIDGE, VA ZIP 22191 Phone: (703) 950-9202
The provider's authorized official is Mariah Eze . The authorized official title is Owner and has the following contact phone number (703) 950-9202.
The enumeration date for this NPI number is 2/28/2023 and was last updated on 10/13/2023.
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:
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
NPI Synchronization or Removal
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