Organization
CENTER FOR MIND AND BODY HEALTH
Active
Organization
CENTER FOR MIND AND BODY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN MARIE RODRIGUEZ ARCHILLA PHD, LCP (DIRECTOR, CLINICAL PSYCHOLOGIST)
(434) 566-0846
Entity
Organization
Contact information
Practice address
408 E MARKET ST, SUITE 201-B, CHARLOTTESVILLE, VA 22902-5261
(434) 566-0846
(434) 202-5441
Mailing address
2174 WHISPERING HOLLOW LN, CHARLOTTESVILLE, VA 22911-3590
(434) 566-0846
(434) 202-5441
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0810005495
VA
103TC0700X
Clinical Psychologist
0810005495
VA
103TH0004X
Health Psychologist
Primary
0810005495
VA
261QM0850X
Adult Mental Health Clinic/Center
0810005495
VA
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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