| Behavioral Consulting Services | |
|
12656 Lake Ridge Dr Ste C Woodbridge VA 22192-7504 | |
| (703) 910-4362 | |
| Not Available |
| Full Name | Behavioral Consulting Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12656 Lake Ridge Dr Ste C, Woodbridge, Virginia |
| Authorized Official Name and Position | Jennifer Smith (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7032329691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Consulting Services 12656 Lake Ridge Dr Ste C Woodbridge VA 22192-7504 Ph: (703) 910-4362 | Behavioral Consulting Services 12656 Lake Ridge Dr Ste C Woodbridge VA 22192-7504 Ph: (703) 910-4362 |
| NPI Number | 1417320797 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417320797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0134000133 (Virginia) | Primary |
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