| Family Behavioral Health Associates, Llc | |
|
5001 W Village Green Dr Suite 211 Midlothian VA 23112-4801 | |
| (804) 744-9652 | |
| (804) 744-1265 |
| Full Name | Family Behavioral Health Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5001 W Village Green Dr, Midlothian, Virginia |
| Authorized Official Name and Position | William T. Burke (MANAGING PARTNER) |
| Authorized Official Contact | 8047449652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Behavioral Health Associates, Llc 5001 W Village Green Dr Suite 211 Midlothian VA 23112-4801 Ph: (804) 744-9652 | Family Behavioral Health Associates, Llc 5001 W Village Green Dr Suite 211 Midlothian VA 23112-4801 Ph: (804) 744-9652 |
| NPI Number | 1932290624 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 0547325169 |
|---|---|
| Medicare Enrollment ID | O20090216000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932290624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810000953 (Virginia) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0015000796 (Virginia) | Secondary |
| Provider Name | William Thomas Burke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346248812 PECOS PAC ID: 2365507985 Enrollment ID: I20111206000639 |
| Provider Name | Laurie Powell Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013904374 PECOS PAC ID: 4981859444 Enrollment ID: I20130307000066 |
Commonwealth Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13356 Midlothian Tpke, Suite 202, Midlothian, VA 23113 Phone: 804-721-1720 Fax: 804-214-2177 | |
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Care & Wellness Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8119 Nashua Dr, Midlothian, VA 23112 Phone: 267-709-1186 | |
Rcg State Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3530 Post Office Rd Unit 4563, Midlothian, VA 23112 Phone: 804-897-1797 Fax: 888-857-8088 | |
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