L R MINOR LLC NPI 1508010232

NPI Information

NPI: 1508010232
Provider Name: L R MINOR LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
910 PRINCESS ANNE ST
SUITE 109
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 656-2106
Get Directions

L R MINOR LLC is a mental health (including community mental health center) clinic center in Fredericksburg, VA. L R MINOR LLC NPI is 1508010232. The provider is registered as an organization entity type.

The provider's business location address is:

910 PRINCESS ANNE ST
SUITE 109
FREDERICKSBURG, VA
ZIP 22401-844
Phone: (540) 656-2106
Fax: (540) 656-2107

The provider's authorized official is Linda R Minor .
The authorized official title is President and has the following contact phone number (540) 361-4330.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 11/2/2010.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0904002023	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	461682000	OTHER	VIRGINIA	MIS
2	4763-0001	OTHER	VIRGINIA	CARE FIRST BCBS
3	291952	OTHER	VIRGINIA	BLUE CROSS BLUE SHIELD
4	089122	OTHER	VIRGINIA	SENTARA-VETRI
5	152672	OTHER	VIRGINIA	MHN
6	512334	OTHER	VIRGINIA	NCPPO
7	80000284	OTHER	VIRGINIA	MEDICARE ID-TYPE UNSPECIFIED
8	89-1497-4	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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