Organization
MLC BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MONIQUE MONTALVO (CEO/OWNER)
(470) 662-1901
Entity
Organization
Contact information
Practice address
2200 COLONIAL AVE STE 16, NORFOLK, VA 23517-1934
(470) 662-1901
Mailing address
4785 ALICIA DR APT 208, VIRGINIA BEACH, VA 23462-3811
(470) 662-1901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
05/22/2025
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