Organization
BEHAVIORAL HEALTH ASSOCIATES OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ERIC ROMAN (CEO)
(804) 721-7528
Entity
Organization
Contact information
Practice address
11030 WARWICK BLVD STE A, NEWPORT NEWS, VA 23601-3251
(757) 534-9088
(757) 534-7496
Mailing address
4196 MERCHANT PLZ STE 205, WOODBRIDGE, VA 22192-5085
(804) 721-7528
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/03/2019
Last updated
08/20/2020
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