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Organization
TRIPLE WILLOW MENTAL HEALTH CLINIC, INC
Active
Organization
TRIPLE WILLOW MENTAL HEALTH CLINIC, INC
Active
Other names
Triple Willow Mental Health, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE DON MCCALL MED, LPC, DCC (PRESIDENT)
(804) 781-4418
Entity
Organization
Contact information
Practice address
7300 HANOVER GREEN DR STE 100, MECHANICSVILLE, VA 23111-1705
(804) 781-4418
(804) 212-0981
Mailing address
7300 HANOVER GREEN DR STE 100, MECHANICSVILLE, VA 23111-1705
(804) 781-4418
(804) 212-0981
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006887
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/18/2015
Last updated
11/03/2017
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