Organization
BEHAVIORAL RESOURCES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN MAYFIELD ED D (MANAGING PARTNER)
(540) 667-1389
Entity
Organization
Contact information
Practice address
134 W PICCADILLY STREET, WINCHESTER, VA 22601
(540) 667-1389
(540) 667-1394
Mailing address
134 W PICCADILLY STREET, WINCHESTER, VA 22601
(540) 667-1389
(540) 667-1394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107671
ANTHEM
—
01
—
204043
ANTHEM
—
01
—
204045
ANTHEM
—
01
—
204047
ANTHEM
—
01
—
27755000
MAGELLAN
—
Enumeration date
08/11/2006
Last updated
08/22/2020
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