Organization
FORENSIC AND MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA BETHANY MAGAZINE PHD (OWNER/MANAGER/PSYCHOLOGIST)
(804) 722-0620
Entity
Organization
Contact information
Practice address
6610 COMMONS DR, STE 103, PRINCE GEORGE, VA 23875-2528
(804) 722-0620
(804) 722-0621
Mailing address
6610 COMMONS DR, STE 103, PRINCE GEORGE, VA 23875-2528
(804) 722-0620
(804) 722-0621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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