Connections Medical Of Va, Llc | |
14554 Lee Rd Ste 102 Chantilly VA 20151-1775 | |
(520) 301-2400 | |
Not Available |
Full Name | Connections Medical Of Va, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 14554 Lee Rd Ste 102, Chantilly, Virginia |
Authorized Official Name and Position | Cheryl Boyle (DIRECTOR, CREDENTIALING) |
Authorized Official Contact | 5127659003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Connections Medical Of Va, Llc 2390 E Camelback Rd Ste 400 Phoenix AZ 85016-3479 Ph: () - | Connections Medical Of Va, Llc 14554 Lee Rd Ste 102 Chantilly VA 20151-1775 Ph: (520) 301-2400 |
NPI Number | 1053196923 |
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Provider Enumeration Date | 08/29/2023 |
Last Update Date | 08/29/2023 |
Certification Date | 08/29/2023 |
Identifier | Type | State | Issuer |
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1053196923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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