| Mlc Behavior Services | |
|
2200 Colonial Ave Ste 16 Norfolk VA 23517-1934 | |
| (470) 662-1901 | |
| Not Available |
| Full Name | Mlc Behavior Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2200 Colonial Ave Ste 16, Norfolk, Virginia |
| Authorized Official Name and Position | Sandra Monique Montalvo (CEO/OWNER) |
| Authorized Official Contact | 4706621901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mlc Behavior Services 4785 Alicia Dr Apt 208 Virginia Beach VA 23462-3811 Ph: (470) 662-1901 | Mlc Behavior Services 2200 Colonial Ave Ste 16 Norfolk VA 23517-1934 Ph: (470) 662-1901 |
| NPI Number | 1720819667 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720819667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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