Organization · NPI-2

Central Virginia Psycholgical Services

Clinic/Center, Adult Mental Health · Charlottesville, VA

NPI number1407351752
StatusActive
Last updated in NPPESMar 28, 2018

Details

NPI
1407351752
Entity type
Organization (NPI-2)
Legal business name
Central Virginia Psycholgical Services
Organization subpart
No
Enumeration date
Mar 28, 2018
Last updated
Mar 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health0810005227VAYes
261QM0855X Clinic/Center, Adolescent and Children Mental Health0810005227VA

Practice location

675 Peter Jefferson Pkwy Ste 130
Charlottesville, VA 22911-8618

Phone 434-218-2424

Mailing address

5556 Holman Dr
Glen Allen, VA 23059-2556

Phone 434-218-2424

Other practice locations

5213 Hickory Park Dr Ste A
Glen Allen, VA 23059-2617

Phone 804-237-8030

Authorized official

Megan Schad
Owner
4342182424

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