| Bon Secours Behavioral Health Group At Memorial Regional | |
|
8220 Meadowbridge Rd Ste 313 Mechanicsville VA 23116-2340 | |
| (804) 325-8882 | |
| (804) 764-3280 |
| Full Name | Bon Secours Behavioral Health Group At Memorial Regional |
|---|---|
| Speciality | Psychologist |
| Location | 8220 Meadowbridge Rd Ste 313, Mechanicsville, Virginia |
| Authorized Official Name and Position | Stephan Quiriconi (CFO) |
| Authorized Official Contact | 8042818301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Behavioral Health Group At Memorial Regional 8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | Bon Secours Behavioral Health Group At Memorial Regional 8220 Meadowbridge Rd Ste 313 Mechanicsville VA 23116-2340 Ph: (804) 325-8882 |
| NPI Number | 1376897827 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 07/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376897827 | NPI | - | NPPES |
| C06115 | Other | VA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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