| Lytle Behavioral Health, Llc | |
|
21351 Gentry Dr Suite 250 Sterling VA 20166-8510 | |
| (412) 921-7000 | |
| (412) 921-7261 |
| Full Name | Lytle Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 21351 Gentry Dr, Sterling, Virginia |
| Authorized Official Name and Position | Lisa Pass (CEO) |
| Authorized Official Contact | 4129217000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lytle Behavioral Health, Llc 160 Canal St Hollidaysburg PA 16648-1741 Ph: (412) 921-7000 | Lytle Behavioral Health, Llc 21351 Gentry Dr Suite 250 Sterling VA 20166-8510 Ph: (412) 921-7000 |
| NPI Number | 1699049726 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699049726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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