NPI 1861369977 · live from the CMS NPI Registry
Absolute Mental Health Clinic LLC
Psychologist, Clinical Child & Adolescent in Woodbridge, VA. National Provider Identifier 1861369977, active.
NPI record
| NPI | 1861369977 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical Child & Adolescent 103TC2200X |
| Practice location | 1930 Opitz Blvd, Woodbridge, VA 22191 |
| Practice phone | 571-398-2758 |
| Enumerated | October 22, 2025 |
| Last updated | October 22, 2025 |
| Authorized official | Maximo De La Cruz, Chief Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | — |
| Psychologist, Clinical Child & Adolescent primary | 103TC2200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.