Organization · NPI-2

Center For Mind And Body Health

Psychologist, Health · Charlottesville, VA

NPI number1316470503
StatusActive
Last updated in NPPESApr 5, 2017

Details

NPI
1316470503
Entity type
Organization (NPI-2)
Legal business name
Center For Mind And Body Health
Organization subpart
No
Enumeration date
Apr 5, 2017
Last updated
Apr 5, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TH0004X Psychologist, Health0810005495VAYes
103TB0200X Psychologist, Cognitive & Behavioral0810005495VA
103TC0700X Psychologist, Clinical0810005495VA
261QM0850X Clinic/Center, Adult Mental Health0810005495VA

Practice location

408 E Market St
Suite 201-B
Charlottesville, VA 22902-5261

Phone 434-566-0846 · Fax 434-202-5441

Mailing address

2174 Whispering Hollow Ln
Charlottesville, VA 22911-3590

Phone 434-566-0846 · Fax 434-202-5441

Authorized official

Vivian Marie Rodriguez Archilla
Director, Clinical Psychologist
4345660846

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