| Prosperity Eating Disorder and Wellness | |
|
709 W Main St Charlottesville VA 22903-4570 | |
| (434) 326-4577 | |
| Not Available |
| Full Name | Prosperity Eating Disorder and Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 709 W Main St, Charlottesville, Virginia |
| Authorized Official Name and Position | Heather Baker (DIRECTOR) |
| Authorized Official Contact | 4343264577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperity Eating Disorder and Wellness 1031 Sterling Rd Ste 203 Herndon VA 20170-3873 Ph: (703) 446-5150 | Prosperity Eating Disorder and Wellness 709 W Main St Charlottesville VA 22903-4570 Ph: (434) 326-4577 |
| NPI Number | 1396193157 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396193157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |
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