Organization
OUTPATIENT BEHAVIORAL HEALTH, LLC
Active
Other names
NORTHSIDE PSYCHOLOGICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE A. MONTES J.D., C.H.C. (GENERAL COUNSEL)
(540) 710-6085
Entity
Organization
Contact information
Practice address
5755 N POINT PKWY STE 256, ALPHARETTA, GA 30022-1174
(770) 667-3877
(770) 667-3879
Mailing address
10304 SPOTSYLVANIA AVE STE 300, FREDERICKSBURG, VA 22408-8605
(540) 710-6085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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