| Dominion Behavioral Healthcare | |
|
11551 Nuckols Rd Suite F Glen Allen VA 23059-5565 | |
| (804) 364-4400 | |
| (804) 364-0120 |
| Full Name | Dominion Behavioral Healthcare |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11551 Nuckols Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Dianne Z Hensley (OWNER) |
| Authorized Official Contact | 8042701124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Behavioral Healthcare 11551 Nuckols Rd Suite F Glen Allen VA 23059-5565 Ph: (804) 364-4400 | Dominion Behavioral Healthcare 11551 Nuckols Rd Suite F Glen Allen VA 23059-5565 Ph: (804) 364-4400 |
| NPI Number | 1841413184 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841413184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Virginia) | Primary |
| 103T00000X | Psychologist | (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | (Virginia) | Primary |
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