| Csb - Loudoun Mental Health | |
|
41923 Beryl Ter Stone Ridge VA 20105-2906 | |
| (703) 727-9143 | |
| Not Available |
| Full Name | Csb - Loudoun Mental Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 41923 Beryl Ter, Stone Ridge, Virginia |
| Authorized Official Name and Position | Judith Rose Brown (MENTAL HEALTH THERAPIST - INTERN) |
| Authorized Official Contact | 7037279143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csb - Loudoun Mental Health 41923 Beryl Ter Stone Ridge VA 20105-2906 Ph: (703) 727-9143 | Csb - Loudoun Mental Health 41923 Beryl Ter Stone Ridge VA 20105-2906 Ph: (703) 727-9143 |
| NPI Number | 1861670549 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861670549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Virginia) | Primary |
The Wellness Connection Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24600 Millstream Dr, Stone Ridge, VA 20105 Phone: 703-327-0335 |