| Behavior Health & Wellness Center, Llc | |
|
11824 Fishing Point Dr Ste B Newport News VA 23606-2679 | |
| (757) 599-0012 | |
| (888) 519-4656 |
| Full Name | Behavior Health & Wellness Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11824 Fishing Point Dr Ste B, Newport News, Virginia |
| Authorized Official Name and Position | Marlin Adili Metters (PARTNER) |
| Authorized Official Contact | 5107763984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Health & Wellness Center, Llc 3024 Cone Manor Ln Raleigh NC 27613-6604 Ph: (510) 776-3984 | Behavior Health & Wellness Center, Llc 11824 Fishing Point Dr Ste B Newport News VA 23606-2679 Ph: (757) 599-0012 |
| NPI Number | 1962736595 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 4385988609 |
|---|---|
| Medicare Enrollment ID | O20190103001505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962736595 | NPI | - | NPPES |
| Provider Name | Lisa Mozee |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205962586 PECOS PAC ID: 9436687977 Enrollment ID: I20250110001828 |
| Provider Name | Crystal Molina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689290140 PECOS PAC ID: 1153848288 Enrollment ID: I20250512002074 |
| Provider Name | Sonia X Correa |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891495081 PECOS PAC ID: 1355868498 Enrollment ID: I20250512002367 |
| Provider Name | Jocelyn Granillo Gallegos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013626357 PECOS PAC ID: 1658880505 Enrollment ID: I20250602003144 |
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