# CIRCLE OF SECURITY IN-HOME NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Circle of Security Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073348504
- **Authorized official:** ARCHER MANESS LPC (DIRECTOR)
- **Authorized official phone:** (434) 825-3626

## Contact information

- **Practice address:** 914 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-4745
- **Practice address phone:** (434) 984-2722
- **Mailing address:** 914 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-4745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TF0200X | Forensic Psychologist | — | NULL | — |
| 103TF0200X | Forensic Psychologist | — | — | — |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/10/2024