Organization
PROFESSIONAL MANAGEMENT SERVICES, LLC
Active
Organization
PROFESSIONAL MANAGEMENT SERVICES, LLC
Active
Other names
Virginia Addiction Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BIRGIT GABRIELE WHYARD (DIRECTOR OF OPERATIONS)
(703) 229-5453
Entity
Organization
Contact information
Practice address
6138 REDWOOD SQUARE CTR, SUITE 204, CENTREVILLE, VA 20121-4264
(703) 229-5453
(888) 352-8653
Mailing address
2281 VALLEY AVE, WINCHESTER, VA 22601-2755
(703) 229-5453
(888) 352-8653
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171W00000X
Contractor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/22/2015
Last updated
10/06/2021
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