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Organization

ALIVE BEHAVIORAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUAN FERNANDEZ (CEO)
(804) 919-5826
Entity
Organization

Contact information

Practice address
11900 SUGAR HILL DR, MIDLOTHIAN, VA 23112-6890
(804) 919-5826
Mailing address
11900 SUGAR HILL DR, MIDLOTHIAN, VA 23112-6890
(804) 919-5826

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/21/2023
Last updated
07/17/2025
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