Organization
ASSURANCE MENTAL HEALTH NETWORK OF VIRGINIA
Active
Organization
ASSURANCE MENTAL HEALTH NETWORK OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMASINA RUCKER LCSW (OWNER)
(703) 231-2249
Entity
Organization
Contact information
Practice address
87 HIDDEN LAKE DR, STAFFORD, VA 22556-1255
(703) 231-2249
Mailing address
87 HIDDEN LAKE DR, STAFFORD, VA 22556-1255
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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