| Eminent Behavioral Health, Llc | |
|
7631 Hull Street Rd Ste 300 North Chesterfield VA 23235-6431 | |
| (804) 447-4145 | |
| (804) 918-2564 |
| Full Name | Eminent Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7631 Hull Street Rd Ste 300, North Chesterfield, Virginia |
| Authorized Official Name and Position | Sandriel Moet-jones King (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8046173225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eminent Behavioral Health, Llc 7631 Hull Street Rd Ste 300 North Chesterfield VA 23235-6431 Ph: (804) 447-4145 | Eminent Behavioral Health, Llc 7631 Hull Street Rd Ste 300 North Chesterfield VA 23235-6431 Ph: (804) 447-4145 |
| NPI Number | 1831787035 |
|---|---|
| Provider Enumeration Date | 01/04/2021 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831787035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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