Organization
TNM MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY NICOLE MALLOY QMHP-A, QMHP-C, M.ED (PROGRAM DIRECTOR)
(757) 613-7349
Entity
Organization
Contact information
Practice address
4010 FORT HUGER DR, SMITHFIELD, VA 23430-5418
(757) 613-7349
Mailing address
4010 FORT HUGER DR, SMITHFIELD, VA 23430-5418
(757) 613-7349
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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