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Organization
BLUE RIDGE BEHAVIORAL HEALTH ASSOCIATES
Active
Organization
BLUE RIDGE BEHAVIORAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN YOUNGMAN PMHNP-BC, FNP-C,APRN (OWNER)
(617) 257-3139
Entity
Organization
Contact information
Practice address
17337 PICKWICK DR STE D, PURCELLVILLE, VA 20132-6176
(617) 257-3139
(540) 691-2252
Mailing address
17337 PICKWICK DR STE D, PURCELLVILLE, VA 20132-6176
(540) 930-0674
(540) 691-2252
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
08/31/2026
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