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Organization

DOMINION BEHAVIORAL HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DIANNE ZITO HENSLEY LCSW (OWNER)
(804) 270-1124
Entity
Organization

Contact information

Practice address
6501 MECHANICSVILLE TPKE, SUITE 100, MECHANICSVILLE, VA 23111-3698
(804) 270-1124
(804) 270-2090
Mailing address
6501 MECHANICSVILLE TPKE, SUITE 100, MECHANICSVILLE, VA 23111-3698
(804) 270-1124
(804) 270-2090

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904000405
VA

Other

Enumeration date
07/18/2006
Last updated
04/09/2013
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