Organization
STRUCTURED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMALL TRIMAINE MINOR (PROGRAM MANAGER)
(804) 252-2704
Entity
Organization
Contact information
Practice address
8500 BELL CREEK RD, MECHANICSVILLE, VA 23116-3826
(804) 277-3635
Mailing address
8500 BELL CREEK RD, MECHANICSVILLE, VA 23116-3826
(804) 277-3635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2040-05-001
VA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
03/05/2026
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