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CENTER FOR COUNSELING AND BEHAVIORAL MEDICINE

Mental Health

Chesterfield, Virginia

Provider NPI: 1891892469

Organization Information:
Organization Name:  CENTER FOR COUNSELING AND BEHAVIORAL MEDICINE
Authorized Official:  AARON B MEKHOUBAT  DIRECTOR  804-7175419

Practice Location:
10106 KRAUSE RD  CHESTERFIELD, VA 23832 US
Tel: 804-717-5419  Fax: 804-520-8595

Business Mailing Address:
PO BOX 2215  CHESTERFIELD, VA 23832 US
Tel: 804-717-5419  Fax: 804-520-8595

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Mental Health (Including Community Mental Health Center)
VA=========

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM BCBS323687VA01
SENTARA087856VA01
MAMSI342367VA01
VALUE OPTIONS366110VA01
CIGNA BEHAVIORAL HEALTH2007414VA01
ANTHEM HEALTHKEEPERS237206VA01
AETNA HEALTH CARE7346205VA01
COMPSYCH178550VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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