| Southern Support Behavioral Health Care Llc | |
|
9840 Midlothian Tpke Ste J North Chesterfield VA 23235-4864 | |
| (252) 209-7896 | |
| (877) 225-6011 |
| Full Name | Southern Support Behavioral Health Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9840 Midlothian Tpke Ste J, North Chesterfield, Virginia |
| Authorized Official Name and Position | Vickie M Persaud (OWNER) |
| Authorized Official Contact | 2526425345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Support Behavioral Health Care Llc Po Box 134 Colerain NC 27924-0134 Ph: () - | Southern Support Behavioral Health Care Llc 9840 Midlothian Tpke Ste J North Chesterfield VA 23235-4864 Ph: (252) 209-7896 |
| NPI Number | 1346000320 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346000320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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