| Commonwealth Behavioral Health, Inc. | |
|
13356 Midlothian Tpke Suite 202 Midlothian VA 23113-4210 | |
| (804) 721-1720 | |
| (804) 214-2177 |
| Full Name | Commonwealth Behavioral Health, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13356 Midlothian Tpke, Midlothian, Virginia |
| Authorized Official Name and Position | Pascal Thebaud (DIRECTOR) |
| Authorized Official Contact | 8047211720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Behavioral Health, Inc. Po Box 73702 North Chesterfield VA 23235-8045 Ph: (804) 721-1720 | Commonwealth Behavioral Health, Inc. 13356 Midlothian Tpke Suite 202 Midlothian VA 23113-4210 Ph: (804) 721-1720 |
| NPI Number | 1003184144 |
|---|---|
| Provider Enumeration Date | 12/04/2011 |
| Last Update Date | 12/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003184144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004809 (Virginia) | Primary |
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