| Four Leaf Behavioral Health & Consulting Inc. | |
|
12239 Hampton Valley Ter Chesterfield VA 23832-2039 | |
| (315) 532-0985 | |
| Not Available |
| Full Name | Four Leaf Behavioral Health & Consulting Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12239 Hampton Valley Ter, Chesterfield, Virginia |
| Authorized Official Name and Position | Casey Knight-loughrey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3155320985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Leaf Behavioral Health & Consulting Inc. 12239 Hampton Valley Ter Chesterfield VA 23832-2039 Ph: (315) 532-0985 | Four Leaf Behavioral Health & Consulting Inc. 12239 Hampton Valley Ter Chesterfield VA 23832-2039 Ph: (315) 532-0985 |
| NPI Number | 1831712603 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831712603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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