| Box Elder Behavioral Health Llc | |
|
254 Rainbow Ridge Bumpass VA 23024-4856 | |
| (757) 274-7527 | |
| Not Available |
| Full Name | Box Elder Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 254 Rainbow Ridge, Bumpass, Virginia |
| Authorized Official Name and Position | Steven Maurno (THERAPIST) |
| Authorized Official Contact | 7572747527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Box Elder Behavioral Health Llc 254 Rainbow Ridge Bumpass VA 23024-4856 Ph: (757) 274-7527 | Box Elder Behavioral Health Llc 254 Rainbow Ridge Bumpass VA 23024-4856 Ph: (757) 274-7527 |
| NPI Number | 1962984328 |
|---|---|
| Provider Enumeration Date | 09/02/2018 |
| Last Update Date | 11/18/2025 |
| Certification Date | 11/18/2025 |
| Medicare PECOS PAC ID | 7315386620 |
|---|---|
| Medicare Enrollment ID | O20240419001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962984328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0701004212 (Virginia) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Steven Joseph Maurno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750561502 PECOS PAC ID: 8224477534 Enrollment ID: I20240419001306 |
Circle Of Change, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 Jackson Farm Ln, Bumpass, VA 23024 Phone: 804-441-1786 |