NPI 1740700186 · live from the CMS NPI Registry
Advanced Family Interventions LLC
Psychologist, Clinical in Forest, VA. National Provider Identifier 1740700186, active.
NPI record
| NPI | 1740700186 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1047 Vista Park Dr, Ste A, Forest, VA 24551 |
| Practice phone | 434-616-2388 |
| Mailing address | 1047 Vista Park Dr Ste A, Forest, VA 24551 |
| Enumerated | June 27, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Timothy Barclay, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management | 251B00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Psychologist, Clinical primary | 103TC0700X | 0810004569 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.