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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