Organization
ADVANCED FAMILY INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY H BARCLAY PHD (PRESIDENT)
(434) 616-2388
Entity
Organization
Contact information
Practice address
1047 VISTA PARK DR, STE A, FOREST, VA 24551
(434) 616-2388
(434) 616-2344
Mailing address
1047 VISTA PARK DR STE A, FOREST, VA 24551-4362
(434) 616-2388
(434) 616-2344
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004569
VA
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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