| Dominion Behavioral Healthcare | |
|
6501 Mechanicsville Tpke Suite 100 Mechanicsville VA 23111-3698 | |
| (804) 270-1124 | |
| (804) 270-2090 |
| Full Name | Dominion Behavioral Healthcare |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6501 Mechanicsville Tpke, Mechanicsville, Virginia |
| Authorized Official Name and Position | Dianne Zito 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 6501 Mechanicsville Tpke Suite 100 Mechanicsville VA 23111-3698 Ph: (804) 270-1124 | Dominion Behavioral Healthcare 6501 Mechanicsville Tpke Suite 100 Mechanicsville VA 23111-3698 Ph: (804) 270-1124 |
| NPI Number | 1528086238 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528086238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904000405 (Virginia) | Primary |
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