Organization
ALIVE BEHAVIORAL SERVICES, LLC
Active
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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