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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