| Golden Grove Behavioral Health Llc | |
|
2561 Pendleton Rd Mineral VA 23117-3914 | |
| (843) 607-8689 | |
| Not Available |
| Full Name | Golden Grove Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2561 Pendleton Rd, Mineral, Virginia |
| Authorized Official Name and Position | Britney Diane Clark (BEHAVIOR ANALYST/OWNER) |
| Authorized Official Contact | 8436078689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Grove Behavioral Health Llc 2561 Pendleton Rd Mineral VA 23117-3914 Ph: (843) 607-8689 | Golden Grove Behavioral Health Llc 2561 Pendleton Rd Mineral VA 23117-3914 Ph: (843) 607-8689 |
| NPI Number | 1144112665 |
|---|---|
| Provider Enumeration Date | 07/18/2025 |
| Last Update Date | 07/18/2025 |
| Certification Date | 07/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144112665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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