Individual
MR. MAXIMO DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP-A-MA
Contact information
Practice address
7530 DIPLOMAT DR STE 101, MANASSAS, VA 20109-2682
(571) 572-0050
(888) 315-4281
Mailing address
31 ONTELL CT, STAFFORD, VA 22554-1566
(571) 572-0050
(888) 315-4281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3329
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3329-05-001
VA
Other
Enumeration date
05/03/2019
Last updated
01/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us