| Phases Family Services | |
|
27037 Flaggy Run Rd Courtland VA 23837-2518 | |
| (757) 376-0149 | |
| Not Available |
| Full Name | Phases Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 27037 Flaggy Run Rd, Courtland, Virginia |
| Authorized Official Name and Position | Ethel Williamson Riddick-mayo (OWNER) |
| Authorized Official Contact | 7573760149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phases Family Services 27037 Flaggy Run Rd Courtland VA 23837-2518 Ph: (757) 376-0149 | Phases Family Services 27037 Flaggy Run Rd Courtland VA 23837-2518 Ph: (757) 376-0149 |
| NPI Number | 1063190361 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063190361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Southampton County School Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21308 Plank Rd, Courtland, VA 23738 Phone: 757-653-2692 Fax: 757-653-9422 |