Organization
CIRCLE OF SECURITY IN-HOME NETWORK
Active
Other names
Circle of Security Network
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHER MANESS LPC (DIRECTOR)
(434) 825-3626
Entity
Organization
Contact information
Practice address
914 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-4745
(434) 984-2722
Mailing address
914 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-4745
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
09/04/2024
Last updated
09/10/2024
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