Organization
FOUR LEAF BEHAVIORAL HEALTH & CONSULTING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY KNIGHT-LOUGHREY (EXECUTIVE DIRECTOR)
(315) 532-0985
Entity
Organization
Contact information
Practice address
12239 HAMPTON VALLEY TER, CHESTERFIELD, VA 23832-2039
(315) 532-0985
Mailing address
12239 HAMPTON VALLEY TER, CHESTERFIELD, VA 23832-2039
(315) 532-0985
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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