Atlantic Behavioral Health Services, Llc | |
199 Liberty St Sw Leesburg VA 20175-2715 | |
(703) 621-7121 | |
Not Available |
Full Name | Atlantic Behavioral Health Services, Llc |
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Speciality | Counselor - Mental Health |
Location | 199 Liberty St Sw, Leesburg, Virginia |
Authorized Official Name and Position | Michael Vazzana (OWNER) |
Authorized Official Contact | 7036217121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Atlantic Behavioral Health Services, Llc 199 Liberty St Sw Leesburg VA 20175-2715 Ph: (703) 621-7121 | Atlantic Behavioral Health Services, Llc 199 Liberty St Sw Leesburg VA 20175-2715 Ph: (703) 621-7121 |
NPI Number | 1194394981 |
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Provider Enumeration Date | 06/24/2021 |
Last Update Date | 06/24/2021 |
Certification Date | 06/24/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194394981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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