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Organization
ATLANTIC BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
ATLANTIC BEHAVIORAL HEALTH SERVICES, LLC
Active
Parent organization
ATLANTIC COUNSELING GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC COUNSELING GROUP
Authorized official
MICHAEL VAZZANA (OWNER)
(703) 621-7121
Entity
Organization
Contact information
Practice address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(703) 621-7121
Mailing address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(703) 621-7121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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