| Structured Living Llc | |
|
8500 Bell Creek Rd Mechanicsville VA 23116-3826 | |
| (804) 277-3635 | |
| Not Available |
| Full Name | Structured Living Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8500 Bell Creek Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Jamall Trimaine Minor (PROGRAM MANAGER) |
| Authorized Official Contact | 8042522704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Structured Living Llc 8500 Bell Creek Rd Mechanicsville VA 23116-3826 Ph: (804) 277-3635 | Structured Living Llc 8500 Bell Creek Rd Mechanicsville VA 23116-3826 Ph: (804) 277-3635 |
| NPI Number | 1760998496 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760998496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2040-05-001 (Virginia) | Primary |
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