| Thriving Minds Behavioral Health Services Llc | |
|
16320 Eagle Flight Cir Woodbridge VA 22191-6080 | |
| (571) 276-6982 | |
| Not Available |
| Full Name | Thriving Minds Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16320 Eagle Flight Cir, Woodbridge, Virginia |
| Authorized Official Name and Position | Rosemary Kwaven (PROVIDER) |
| Authorized Official Contact | 5712766982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Minds Behavioral Health Services Llc 16320 Eagle Flight Cir Woodbridge VA 22191-6080 Ph: (571) 276-6982 | Thriving Minds Behavioral Health Services Llc 16320 Eagle Flight Cir Woodbridge VA 22191-6080 Ph: (571) 276-6982 |
| NPI Number | 1285469536 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285469536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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