Phoenix Mental Health LLC

NPI #1437590601 in Virginia Beach, Virginia

Provider Information

NPI Number
1437590601
Entity Type
Organization
Organization Name
Phoenix Mental Health LLC
Primary Specialty
Point of Service
Enumeration Date
Jul 16, 2013
Last Updated
Jul 22, 2013

Practice Location

Address
100 S BOGGS AVE
ZIP Code
23452-1705
Phone
(757) 453-4017

Authorized Official

Name
DR. RICHARD M MASON JR., PHD, LPC, ACS
Title
LPC
Phone
(757) 453-4017

Specialties & Taxonomy Codes

Specialty
Point of Service

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