Organization
DOMINION CENTER FOR BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE VILLENEUVE EDD (CEO)
(703) 542-7770
Entity
Organization
Contact information
Practice address
43130 AMBERWOOD PLZ, SUITE 140, SOUTH RIDING, VA 20152-4105
(703) 542-7770
(703) 876-2673
Mailing address
43130 AMBERWOOD PLZ, SUITE 140, SOUTH RIDING, VA 20152-4105
(703) 542-7770
(703) 876-2673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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