Commonwealth Behavioral Health, Inc. | |
13356 Midlothian Tpke Suite 202 Midlothian VA 23113-4210 | |
(804) 721-1720 | |
(804) 214-2177 |
Full Name | Commonwealth Behavioral Health, Inc. |
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Speciality | Counselor - Professional |
Location | 13356 Midlothian Tpke, Midlothian, Virginia |
Authorized Official Name and Position | Pascal Thebaud (DIRECTOR) |
Authorized Official Contact | 8047211720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Commonwealth Behavioral Health, Inc. Po Box 73702 North Chesterfield VA 23235-8045 Ph: (804) 721-1720 | Commonwealth Behavioral Health, Inc. 13356 Midlothian Tpke Suite 202 Midlothian VA 23113-4210 Ph: (804) 721-1720 |
NPI Number | 1003184144 |
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Provider Enumeration Date | 12/04/2011 |
Last Update Date | 12/04/2011 |
Identifier | Type | State | Issuer |
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1003184144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701004809 (Virginia) | Primary |
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