Organization
M & M BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONNE MOORE (CEO)
(804) 926-9372
Entity
Organization
Contact information
Practice address
1879 S SYCAMORE ST, PETERSBURG, VA 23805-2730
(804) 926-9372
Mailing address
1879 S SYCAMORE ST, PETERSBURG, VA 23805-2730
(804) 926-9372
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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