| Ashby Gap Psychiatric Center | |
|
119 The Plains Rd Suite 300 Middleburg VA 20117 | |
| (540) 326-4536 | |
| Not Available |
| Full Name | Ashby Gap Psychiatric Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 119 The Plains Rd, Middleburg, Virginia |
| Authorized Official Name and Position | Mark Paul De Villier (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8432092067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashby Gap Psychiatric Center Po Box 915 Middleburg VA 20118 Ph: (540) 326-4536 | Ashby Gap Psychiatric Center 119 The Plains Rd Suite 300 Middleburg VA 20117 Ph: (540) 326-4536 |
| NPI Number | 1669857843 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 07/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669857843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 701004712 (Virginia) | Primary |
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